Filing · f0009
Alignment Health Plan H5472
Alignment Healthcare · Medicare Advantage · H5472 · CY2025
In 2025 this plan received 9,318 standard prior authorization requests and denied 3.7% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
3.7%
9,318 standard requests, 341 denied.
59.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 9,318 | 8,977 | 341 | 3.7% |
| Expedited | 4,537 | 4,417 | 120 | 2.6% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 37 |
| Denials overturned | 22 |
| Overturn rate | 59.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.3 d | 1.0 d |
| Expedited | 16.6 h | 12.7 h |