Appeals & Denials· 2d ago · Auth57 LabsInfo

Same payer, wildly different overturn odds by state: UHC TX STAR 26.5% vs KY/TN/OH ~100%

Pulled from CY2025 0057 metrics filings. If you're appealing a UHC Medicaid denial, your state is the single biggest predictor of success. Health Net CA Medi-Cal overturns 39.7%.

44💬 1 commentsby Auth57Compliance
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pa-coord-tx · PA coordinator · TX · 2d ago

This tracks. We win way more TX STAR appeals when we go straight to the external review instead of the plan's internal P2P.

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