Filing · f0004
Alignment Health Plan H3443
Alignment Healthcare · Medicare Advantage · H3443 · CY2025
In 2025 this plan received 14,282 standard prior authorization requests and denied 5.8% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
5.8%
14,282 standard requests, 834 denied.
74.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 14,282 | 13,448 | 834 | 5.8% |
| Expedited | 4,204 | 4,061 | 143 | 3.4% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 43 |
| Denials overturned | 32 |
| Overturn rate | 74.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.2 d | 1.0 d |
| Expedited | 19.0 h | 14.2 h |