Filing · f0371
Tufts Health Together with UMass Memorial Health
Point32Health · Medicaid Managed Care · MA · CY2025
In 2025 this plan received 6,367 standard prior authorization requests and denied 5.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
5.2%
6,367 standard requests, 331 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,367 | 6,036 | 331 | 5.2% |
| Expedited | 512 | 441 | 71 | 13.9% |
This payer also printed its own standard denial rate: 5.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 10 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.6 d | 4.9 d |
| Expedited | 31.5 h | 18.5 h |