Filing · f0030
AZ Blue Medicare Advantage
Blue Cross Blue Shield of Arizona · Medicare Advantage · AZ · CY2025
In 2025 this plan received 37,315 standard prior authorization requests and denied 5.6% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
5.6%
37,315 standard requests, 2,098 denied.
91.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 37,315 | 35,217 | 2,098 | 5.6% |
| Expedited | 4,443 | 4,174 | 269 | 6.1% |
| Extended review, approved | 18 | |||
Appeals of standard denials
| Appeals filed | 477 |
| Denials overturned | 434 |
| Overturn rate | 91.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.1 d | — |
| Expedited | 11.8 h | 2.5 h |