Filing · f0074

Aetna Medicare Advantage - contract H1206

CVS Health / Aetna · Medicare Advantage · H1206 · 2025

This plan reported a 6.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.9%. 2 checks flagged this filing.

Standard denial rate
6.0%
This filing published percentages without counts. 87.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 6.0%
Expedited 6.0%

This payer also printed its own standard denial rate: 6.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate87.2%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard1.2 d0.0 d
Expedited4.8 h0.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified