Filing · f0482
TrueCare (Mississippi Medicaid)
TrueCare · Medicaid Managed Care · MS · CY2025
In 2025 this plan received 34,380 standard prior authorization requests and denied 13.5% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
13.5%
34,380 standard requests, 4,654 denied.
22.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 34,380 | 29,726 | 4,654 | 13.5% |
| Expedited | 989 | 938 | 51 | 5.2% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 14.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 240 |
| Denials overturned | 54 |
| Overturn rate | 22.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 20.0 h | 18.0 h |