Filing · f0031
Medicare Advantage
Blue Cross Blue Shield of Arizona · Medicare Advantage · AZ · 2025
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 10.5%.
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% |
This payer also printed its own standard denial rate: 5.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 477 |
| Denials overturned | 434 |
| Overturn rate | 91.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.1 d | 1.0 d |
| Expedited | 11.8 h | 2.5 h |