Filing · f0034
HMO Louisiana, Inc.
Blue Cross and Blue Shield of Louisiana · Marketplace QHP · LA · CY2025
In 2025 this plan received 62,789 standard prior authorization requests and denied 6.5% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
6.5%
62,789 standard requests, 4,067 denied.
36.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 62,789 | 58,722 | 4,067 | 6.5% |
| Expedited | 4,209 | 4,055 | 154 | 3.7% |
This payer also printed its own standard denial rate: 6.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 394 |
| Denials overturned | 143 |
| Overturn rate | 36.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | — | 0.0 d |
| Expedited | 17.0 h | 4.0 h |