Filing · f0084

Aetna Medicare Advantage - contract H3288

CVS Health / Aetna · Medicare Advantage · H3288 · 2025

This plan reported a 10.9% 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
10.9%
This filing published percentages without counts. 90.5% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 10.9%
Expedited 14.5%

This payer also printed its own standard denial rate: 10.9%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate90.5%

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

Turnaround
MeanMedian
Standard1.7 d0.0 d
Expedited9.8 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