Filing · f0370
Tufts Health Together with Cambridge Health Alliance (CHA)
Point32Health · Medicaid Managed Care · MA · CY2025
In 2025 this plan received 3,526 standard prior authorization requests and denied 4.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
4.0%
3,526 standard requests, 140 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,526 | 3,386 | 140 | 4.0% |
| Expedited | 152 | 132 | 20 | 13.2% |
This payer also printed its own standard denial rate: 4.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 2 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.2 d | 3.9 d |
| Expedited | 49.5 h | 5.6 h |