First-Pass Approval Rate
96.2%
+8.4% vs industry
PAs Submitted This Month
24
+18% vs last month
Avg Days to Approval
2.4 Days
-4.6 days faster than cap
Hours Saved This Month
18.0 Hrs
=$540 labor cost saved
Weekly First-Pass Approval Rate (8-Week Trend)
Compared against Industry Benchmark (62.0%) & Target (90.0%)
PA Status Breakdown (Current Month)
Total 24 Prior Authorizations
Approved (19 PAs)79.2%
Pending Payer (3 PAs)12.5%
Denied / Appealed (2 PAs)8.3%
96.2% overall first-pass approval across all Texas Medicaid payers.
Payer Performance Matrix
Approval speed and denial rates sorted by payer performance
| Payer Name | PAs Submitted | First-Pass Approval | Avg Days to Decision | Denial Rate |
|---|---|---|---|---|
| Aetna Better Health Texas | 8 | 87.5% | 3.1 Days | 12.5% |
| UnitedHealthcare Texas | 14 | 92.8% | 2.5 Days | 7.2% |
| Texas STAR+PLUS Medicaid | 32 | 96.8% | 2.1 Days | 3.2% |
| Molina Healthcare Texas | 11 | 95.4% | 2.8 Days | 4.6% |
Expiring Authorizations (<30 Days)
Proactive renewal triggers to prevent gaps in patient care
Member ...3210Personal Attendant (PAS)
Start Renewal →Expires: 2026-09-15 (15 days remaining)
Member ...8841Community Attendant (CAS)
Start Renewal →Expires: 2026-09-22 (22 days remaining)
💡 Monthly Efficiency Impact
You saved 18.0 hours this month
That’s $540 in coordinator labor time at $30/hr — not including $9,600 in revenue protected from avoided prior authorization denials.