Filing · f0009
Alignment Health Plan H7074
Alignment Healthcare · Medicare Advantage · H7074 · CY2025
In 2025 this plan received 380 standard prior authorization requests and denied 2.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
2.1%
380 standard requests, 8 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 380 | 372 | 8 | 2.1% |
| Expedited | 99 | 98 | 1 | 1.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 1 |
| Denials overturned | 1 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.0 d |
| Expedited | 0.5 h | 0.0 h |