WIP Authorization Statistics | Denver Health Medical Plan

STANDARD APPROVED
Plan Group	Total Standard Authorizations	Denied Standard Authorizations	Percent Denied Standard
Medicaid	19,985	905	5%
CHP	2,383	92	4%
Medicare	4,031	342	8%
TOTAL	26,399	1,339	5%

APPROVED AFTER APPEAL
Plan Group	Total Standard Authorizations	DENOVRAPP Count	Percent ENOVRAPP
Medicaid	19,985	15	0.1%
CHP	2,383	3	0.1%
Medicare	4,031	7	0.2%
TOTAL	26,399	25	0.1%

REVIEW WAS EXTENDED
Plan Group	Total Standard Authorizations	Extension Count	Percent Extension
Medicaid	20,057	2	0.01%
CHP+	2,391	NULL	NULL
Medicare	4,042	1	0.02%
TOTAL	26,490	3	0.01%

APPROVED EXPEDITED AUTHORIZATIONS
Plan Group	Total Expedited Authorizations	Approved Expedited Authorizations	Percent Expedited
Medicaid	2,621	2,541	97%
CHP+	361	357	99%
Medicare	941	928	99%
TOTAL	3,923	3,826	98%

DENIED EXPEDITED AUTHORIZATIONS
Plan Group	Total Expedited Authorizations	Denied Expedited Authorizations	Percent Denied Expedited
Medicaid	2,621	80	3%
CHP+	361	4	1%
Medicare	941	13	1%
TOTAL	3,923	97	2%

AVERAGE DAYS STANDARD FROM SUBMISSION TO DETERMINATION
	Plan Group	Avg Days Standard Authorization
	Medicaid	3
	CHP	3
	Medicare	6
	TOTAL	4

MEDIAN DAYS STANDARD FROM SUBMISSION TO DETERMINATION
	Plan Group	Median Days
	Medicare	7
	CHP	3
	Medicaid	3
	TOTAL	3

AVERAGE HOURS EXPEDITED SUBMISSION TO DETERMINATION
	Plan Group	Average Hours Expedited
	Medicaid	19
	CHP	15
	Medicare	26
	TOTAL	20

MEDIAN HOURS EXPEDITED SUBMISSION TO DETERMINATION
	Plan Group	Median Hours
	CHP	15
	Medicaid	18
	Medicare	21
	TOTAL	19