Filing · f0127
Ambetter from Arizona Complete Health (91450)
Centene · Marketplace QHP · AZ · 91450 · CY2025
In 2025 this plan received 54,027 standard prior authorization requests and denied 26.0% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
26.0%
54,027 standard requests, 14,044 denied.
37.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 54,027 | 39,983 | 14,044 | 26.0% |
| Expedited | 3,730 | 2,834 | 896 | 24.0% |
| Extended review, approved | 1,039 | |||
Appeals of standard denials
| Appeals filed | 378 |
| Denials overturned | 141 |
| Overturn rate | 37.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | 48.0 h | 24.0 h |