Filing · f0219

Anthem HealthPlus New York Medicaid

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

This plan reported a 1.2% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicaid Managed Care plans of comparable size is 12.3%. 2 checks flagged this filing.

Standard denial rate
1.2%
This filing published percentages without counts. 40.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 1.2%
Expedited — — — 18.4%

This payer also printed its own standard denial rate: 1.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate40.2%

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

Turnaround
MeanMedian
Standard1.0 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