Filing · f0217
Anthem HealthKeepers Plus (Virginia Medicaid)
Elevance Health · Medicaid Managed Care · VA · CY2025
In 2025 this plan received 341,586 standard prior authorization requests and denied 11.9% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
11.9%
341,586 standard requests, 40,725 denied.
18.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 341,586 | 300,861 | 40,725 | 11.9% |
| Expedited | 63,743 | 59,464 | 4,279 | 6.7% |
| Extended review, approved | 2,611 | |||
Appeals of standard denials
| Appeals filed | 5,186 |
| Denials overturned | 942 |
| Overturn rate | 18.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.9 d | 0.0 d |
| Expedited | 37.5 h | 22.0 h |