Filing · f0607
Univera Healthcare MyHealth (MMC)
Univera Healthcare · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 4,910 standard prior authorization requests and denied 16.0% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
16.0%
4,910 standard requests, 783 denied.
7.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,910 | 4,127 | 783 | 16.0% |
| Expedited | 54 | 47 | 7 | 13.0% |
| Extended review, approved | 590 | |||
This payer also printed its own standard denial rate: 15.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 26 |
| Denials overturned | 2 |
| Overturn rate | 7.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.3 d | 1.2 d |
| Expedited | 9.6 h | 2.4 h |