Filing · f0092

Aetna Medicare Advantage - contract H4711

CVS Health / Aetna · Medicare Advantage · H4711 · 2025

This plan reported a 11.3% 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
11.3%
This filing published percentages without counts. 86.7% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 11.3%
Expedited 14.8%

This payer also printed its own standard denial rate: 11.3%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate86.7%

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

Turnaround
MeanMedian
Standard1.9 d0.0 d
Expedited9.1 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