Filing · f0205
Community Health Choice D-SNP
Community Health Choice · Medicare Advantage · TX ·
In 2025 this plan received 1,430 standard prior authorization requests and denied 8.8% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
8.8%
1,430 standard requests, 126 denied.
0.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,430 | 1,304 | 126 | 8.8% |
| Expedited | 192 | 170 | 22 | 11.5% |
| Extended review, approved | 4 | |||
This payer also printed its own standard denial rate: 9.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 4 |
| Denials overturned | 0 |
| Overturn rate | 0.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 7.0 d | 5.0 d |
| Expedited | 96.0 h | 72.0 h |