Filing · f0227
Wellpoint Washington (Apple Health)
Elevance Health · Medicaid Managed Care · WA · CY2025
In 2025 this plan received 67,795 standard prior authorization requests and denied 10.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
10.3%
67,795 standard requests.
27.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 67,795 | — | — | 10.3% |
| Expedited | 4,385 | — | — | 4.3% |
This payer also printed its own standard denial rate: 10.3%. 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 | 27.9% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 48.0 h | 24.0 h |
What the checks found
infoappeals_not_reported
no appeal outcome data published