Filing · f0033
Blue Cross and Blue Shield of Kansas Medicare Advantage
Blue Cross and Blue Shield of Kansas · Medicare Advantage · KS · H7063 · CY2025
In 2025 this plan received 1,974 standard prior authorization requests and denied 3.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
3.2%
1,974 standard requests, 64 denied.
75.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,974 | 1,910 | 64 | 3.2% |
| Expedited | 88 | 86 | 2 | 2.3% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 3.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 4 |
| Denials overturned | 3 |
| Overturn rate | 75.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.8 d | 5.6 d |
| Expedited | 40.9 h | 28.3 h |