Filing · f0105

Aetna Medicare Advantage - contract H8332

CVS Health / Aetna · Medicare Advantage · H8332 · CY2025

This plan reported a 13.2% 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
13.2%
This filing published percentages without counts. 72.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 13.2%
Expedited 15.7%

This payer also printed its own standard denial rate: 13.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate72.2%

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

Turnaround
MeanMedian
Standard1.5 d0.0 d
Expedited10.3 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