Filing · f0130
Ambetter from Louisiana Healthcare Connections
Centene · Marketplace QHP · LA · CY2025
In 2025 this plan received 22,862 standard prior authorization requests and denied 24.3% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
24.3%
22,862 standard requests, 5,544 denied.
30.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 22,862 | 17,318 | 5,544 | 24.3% |
| Expedited | 1,230 | 919 | 311 | 25.3% |
This payer also printed its own standard denial rate: 24.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 523 |
| Denials overturned | 160 |
| Overturn rate | 30.6% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 2.0 d |
| Expedited | 24.0 h | 0.0 h |