Filing · f0149
Buckeye MyCare Ohio
Centene · Medicare-Medicaid Plan · OH · CY2025
In 2025 this plan received 20,494 standard prior authorization requests and denied 7.2% of them. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%.
Standard denial rate
7.2%
20,494 standard requests, 1,481 denied.
33.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 20,494 | 19,013 | 1,481 | 7.2% |
| Expedited | 203 | 164 | 39 | 19.2% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 278 |
| Denials overturned | 94 |
| Overturn rate | 33.8% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 24.0 h | 24.0 h |