Filing · f0030
Individual Affordable Care Act Plan Members
Blue Cross Blue Shield of Arizona · Marketplace QHP · AZ · 2025
In 2025 this plan received 34,329 standard prior authorization requests and denied 12.8% of them. The median for Marketplace QHP plans of comparable size is 17.6%.
Standard denial rate
12.8%
34,329 standard requests, 4,402 denied.
45.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 34,329 | 29,927 | 4,402 | 12.8% |
| Expedited | 3,124 | 2,832 | 292 | 9.4% |
This payer also printed its own standard denial rate: 12.8%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 363 |
| Denials overturned | 164 |
| Overturn rate | 45.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.5 d | 0.3 d |
| Expedited | 20.4 h | 2.9 h |