Filing · f0218

Anthem HealthPlus New York Child Health Plus

Elevance Health · CHIP Managed Care · NY · G0606 · CY2025

This plan reported a 11.6% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for CHIP Managed Care plans of comparable size is 15.6%. 2 checks flagged this filing.

Standard denial rate
11.6%
This filing published percentages without counts. 42.5% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 11.6%
Expedited 9.4%

This payer also printed its own standard denial rate: 11.6%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate42.5%

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

Turnaround
MeanMedian
Standard3.0 d1.0 d
Expedited24.0 h24.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified