Filing · f0608
Univera Healthcare MyHealth Plus (HARP)
Univera Healthcare · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 498 standard prior authorization requests and denied 13.1% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
13.1%
498 standard requests, 65 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 498 | 433 | 65 | 13.1% |
| Expedited | 8 | 8 | 0 | 0.0% |
| Extended review, approved | 74 | |||
This payer also printed its own standard denial rate: 13.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 2 |
| Denials overturned | — |
| Overturn rate | — |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.1 d | 0.9 d |
| Expedited | 4.8 h | 2.4 h |