Filing · f0515
New Mexico Turquoise Care
UnitedHealth Group · Medicaid Managed Care · NM · CY2025
In 2025 this plan received 5,838 standard prior authorization requests and denied 8.1% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
8.1%
5,838 standard requests, 474 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 5,838 | 5,364 | 474 | 8.1% |
| Expedited | 5 | 5 | 0 | 0.0% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 12 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.7 d |
| Expedited | 24.0 h | 19.2 h |