Filing · f0378
Rocky Mountain Health Plans - CHP+ (Child Health Plan Plus)
Rocky Mountain Health Plans · CHIP Managed Care · CO · CY2025
In 2025 this plan received 6,163 standard prior authorization requests and denied 7.7% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.
Standard denial rate
7.7%
6,163 standard requests, 476 denied.
63.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,163 | 5,691 | 476 | 7.7% |
| Expedited | 1,391 | 1,266 | 125 | 9.0% |
This payer also printed its own standard denial rate: 7.7%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 27 |
| Denials overturned | 17 |
| Overturn rate | 63.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.7 d | 0.0 d |
| Expedited | 33.2 h | 11.0 h |