Organization Detail
Advanced Health CCO
1 plan across 1 state · Medicaid MCO
Advanced Health CCO reported prior authorization metrics for 1 Medicaid MCO plan across 1 state under CMS rule CMS-0057-F for calendar year 2025. Across those plans, Advanced Health CCO processed 18,529 standard prior authorization requests. The average standard prior authorization denial rate was 22.4%, above the national average of 11.8%.
22.4%
Advanced Health CCO Denial Rate
standard, avg across 1 plans
11.8%
National Average
all reporting plans
+10.6%
vs. National
above average
OR1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Advanced Health CCO MedicaidMedicaid MCO | 18,529 | 14,379 | 4,150 | 77.6% | 22.4% | — | — | — | — | — | — | — |