Filing · f0057
CHRISTUS Health Plan
CHRISTUS Health Plan · Medicare Advantage · H1189 · CY2025
In 2025 this plan received 399 standard prior authorization requests and denied 9.0% of them. The median for Medicare Advantage plans of comparable size is 10.5%. One check flagged this filing.
Standard denial rate
9.0%
399 standard requests, 36 denied.
0.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 399 | 365 | 36 | 9.0% |
| Expedited | 27 | 27 | 0 | 0.0% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 9.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 2 |
| Denials overturned | 0 |
| Overturn rate | 0.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 2.0 d |
| Expedited | 26.4 h | 24.0 h |
What the checks found
errorstd_counts_reconcile
365 approved + 36 denied = 401, but total is 399 (-2 unaccounted, 0.5%)