Filing · f0404
UCare Connect
UCare · Medicaid Managed Care · MN · CY2025
In 2025 this plan received 6,578 standard prior authorization requests and denied 45.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
45.2%
6,578 standard requests, 2,972 denied.
33.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,578 | 3,606 | 2,972 | 45.2% |
| Expedited | 200 | 135 | 65 | 32.5% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 142 |
| Denials overturned | 47 |
| Overturn rate | 33.1% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 7.0 d | 8.0 d |
| Expedited | 48.0 h | 24.0 h |
What the checks found
warnhigh_denial_rate
45.18% standard denial rate is far above the peer range