Filing · f0164
Meridian Illinois Medicaid
Centene · Medicaid Managed Care · IL · CY2025
In 2025 this plan received 316,252 standard prior authorization requests and denied 22.6% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
22.6%
316,252 standard requests, 71,520 denied.
48.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 316,252 | 244,732 | 71,520 | 22.6% |
| Expedited | 7,605 | 6,581 | 1,024 | 13.5% |
| Extended review, approved | 4,236 | |||
Appeals of standard denials
| Appeals filed | 4,735 |
| Denials overturned | 2,297 |
| Overturn rate | 48.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 0.0 h |