Filing · f0180
Wellcare By Health Net H0562
Centene · Medicare Advantage · CA · H0562 · CY2025
In 2025 this plan received 184,541 standard prior authorization requests and denied 1.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
1.9%
184,541 standard requests, 3,584 denied.
77.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 184,541 | 180,957 | 3,584 | 1.9% |
| Expedited | 24,953 | 24,237 | 716 | 2.9% |
| Extended review, approved | 4 | |||
Appeals of standard denials
| Appeals filed | 92 |
| Denials overturned | 71 |
| Overturn rate | 77.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |