Filing · f0167
Oklahoma Complete Health - SoonerSelect
Centene · Medicaid Managed Care · OK · CY2025
In 2025 this plan received 72,761 standard prior authorization requests and denied 32.4% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
32.4%
72,761 standard requests, 23,594 denied.
63.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 72,761 | 49,167 | 23,594 | 32.4% |
| Expedited | 1,348 | 1,047 | 301 | 22.3% |
| Extended review, approved | 2,025 | |||
Appeals of standard denials
| Appeals filed | 1,328 |
| Denials overturned | 840 |
| Overturn rate | 63.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |