Filing · f0163

Meridian Michigan Medicaid

Centene · Medicaid Managed Care · MI · CY2025

In 2025 this plan received 121,587 standard prior authorization requests and denied 21.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.

Standard denial rate
21.0%
121,587 standard requests. 63.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 121,587 21.0%
Expedited 5,773 19.0%

This payer also printed its own standard denial rate: 21.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate63.0%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard4.8 d2.0 d
Expedited20.9 h12.5 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified