Filing · f0194

Colorado Access

Colorado Access · Medicaid Managed Care · CO · 1/1/2025-12/31/2025

In 2025 this plan received 16,654 standard prior authorization requests and denied 8.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.

Standard denial rate
8.2%
16,654 standard requests, 1,370 denied.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 16,654 15,284 1,370 8.2%
Expedited 17,006 15,849 1,157 6.8%

This payer also printed its own standard denial rate: 8.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate

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

Turnaround
MeanMedian
Standard21.1 d1.9 d
Expedited3.0 h1.0 h
What the checks found
warnexpedited_exceeds_standard_volume

expedited volume 17,006 exceeds standard 16,654 (1.0x) - columns may be transposed

infoappeals_not_reported

no appeal outcome data published