Filing · f0436
New York Wellness 4Me (HARP)
UnitedHealth Group · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 4,461 standard prior authorization requests and denied 9.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
9.0%
4,461 standard requests, 401 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,461 | 4,060 | 401 | 9.0% |
| Expedited | 151 | 148 | 3 | 2.0% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 9 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.5 d |
| Expedited | 168.0 h | 256.8 h |
What the checks found
warnexpedited_slower_than_standard
expedited mean 168.0h exceeds standard mean 1.00d (24h)