Filing · f0032
Blue Cross and Blue Shield of Kansas - Qualified Health Plans
Blue Cross and Blue Shield of Kansas · Marketplace QHP · KS · 2025
In 2025 this plan received 3,998 standard prior authorization requests and denied 3.4% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
3.4%
3,998 standard requests, 136 denied.
58.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,998 | 3,854 | 136 | 3.4% |
| Expedited | 1 | 1 | 0 | 0.0% |
This payer also printed its own standard denial rate: 3.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 101 |
| Denials overturned | 59 |
| Overturn rate | 58.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 8.0 d | 8.0 d |
| Expedited | 51.1 h | 48.0 h |