Filing · f0082

Aetna Medicare Advantage - contract H1692

CVS Health / Aetna · Medicare Advantage · H1692 · 2025

This plan reported a 9.6% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.5%. 2 checks flagged this filing.

Standard denial rate
9.6%
This filing published percentages without counts. 90.7% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 9.6%
Expedited — — — 16.5%

This payer also printed its own standard denial rate: 9.6%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate90.7%

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

Turnaround
MeanMedian
Standard1.5 d0.0 d
Expedited8.9 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