Filing · f0182
Wellcare Medicare Advantage H0074
Centene · Medicare Advantage · MS · H0074 · CY2025
In 2025 this plan received 3,134 standard prior authorization requests and denied 16.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
16.9%
3,134 standard requests, 531 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,134 | 2,603 | 531 | 16.9% |
| Expedited | 303 | 259 | 44 | 14.5% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 45 |
| Denials overturned | 45 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |