03 · Validation

Every filing checked against itself

CMS mandates publication. It does not mandate a format, does not require counts, and does not check arithmetic. 10 rules do.

expedited_slower_than_standard · 20 hits

expedited turnaround exceeding standard Show all 340
Plan
Severity
Rule
Detail
CountyCare Health Plan (HealthChoice Illinois Medicaid)
CountyCare Health Plan (Cook County Health) · IL
warn expedited_slower_than_standard expedited mean 21.1h exceeds standard mean 0.87d (21h)
Ambetter from Superior HealthPlan (29418)
Centene · TX
warn expedited_slower_than_standard expedited mean 72.0h exceeds standard mean 2.00d (48h)
Wisconsin Medicaid (ForwardHealth) -- specific program/agency not named in document
Wisconsin Department of Health Services · WI
warn expedited_slower_than_standard expedited mean 151.2h exceeds standard mean 3.10d (74h)
Kaiser Foundation Health Plan of the Mid-Atlantic States
Kaiser Permanente · MD
warn expedited_slower_than_standard expedited mean 4.0h exceeds standard mean 0.13d (3h)
Ambetter from Superior HealthPlan (87226)
Centene · TX
warn expedited_slower_than_standard expedited mean 72.0h exceeds standard mean 2.00d (48h)
Highmark QHP (federal Marketplace) - Pennsylvania
Highmark · PA
warn expedited_slower_than_standard expedited mean 11.8h exceeds standard mean 0.43d (10h)
Mississippi Medicaid Fee-for-Service
Mississippi Division of Medicaid · MS
warn expedited_slower_than_standard expedited mean 110.3h exceeds standard mean 3.13d (75h)
Community Health Choice STAR & STAR+PLUS (combined)
Community Health Choice · TX
warn expedited_slower_than_standard expedited mean 192.0h exceeds standard mean 7.00d (168h)
Maryland HealthChoice
UnitedHealth Group · MD
warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h)
Highmark QHP (federal Marketplace) - West Virginia
Highmark · WV
warn expedited_slower_than_standard expedited mean 13.4h exceeds standard mean 0.41d (10h)
New York Wellness 4Me (HARP)
UnitedHealth Group · NY
warn expedited_slower_than_standard expedited mean 168.0h exceeds standard mean 1.00d (24h)
Northeast Health Partners (Regional Accountable Entity)
Northeast Health Partners · CO
warn expedited_slower_than_standard expedited mean 25.9h exceeds standard mean 0.76d (18h)
UnitedHealthcare Medicare Advantage - Contract H5652
UnitedHealth Group
warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h)
Community Health Choice CHIP & CHIP Perinatal (combined)
Community Health Choice · TX
warn expedited_slower_than_standard expedited mean 288.0h exceeds standard mean 9.00d (216h)
UnitedHealthcare Medicare Advantage - Contract H7833
UnitedHealth Group
warn expedited_slower_than_standard expedited mean 24.0h exceeds standard mean 0.00d (0h)
Aetna Better Health Kids (Pennsylvania CHIP)
CVS Health / Aetna · PA
warn expedited_slower_than_standard expedited mean 51.1h exceeds standard mean 1.97d (47h)
New York Child Health Plus
UnitedHealth Group · NY
warn expedited_slower_than_standard expedited mean 96.0h exceeds standard mean 0.00d (0h)
Molina Healthcare of Texas CHIP Perinate MHT (at or below 185% FPL)
Molina Healthcare · TX
warn expedited_slower_than_standard expedited mean 59.0h exceeds standard mean 1.00d (24h)
Molina Healthcare of Texas CHIP Perinate RSA (at or below 185% FPL)
Molina Healthcare · TX
warn expedited_slower_than_standard expedited mean 53.0h exceeds standard mean 2.00d (48h)
Senior Whole Health of New York - MLTSS
Molina Healthcare · NY
warn expedited_slower_than_standard expedited mean 79.0h exceeds standard mean 3.00d (72h)