Filing · f0010
Alignment Health Plan H8832
Alignment Healthcare · Medicare Advantage · H8832 · CY2025
In 2025 this plan received 4,044 standard prior authorization requests and denied 2.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
2.9%
4,044 standard requests, 117 denied.
75.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,044 | 3,927 | 117 | 2.9% |
| Expedited | 1,601 | 1,567 | 34 | 2.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 12 |
| Denials overturned | 9 |
| Overturn rate | 75.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.9 d | 0.8 d |
| Expedited | 21.4 h | 13.7 h |