Filing · f0183
Wellcare Medicare Advantage H0351
Centene · Medicare Advantage · AZ · H0351 · CY2025
In 2025 this plan received 33,259 standard prior authorization requests and denied 17.3% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
17.3%
33,259 standard requests, 5,740 denied.
95.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 33,259 | 27,519 | 5,740 | 17.3% |
| Expedited | 2,439 | 2,094 | 345 | 14.2% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 690 |
| Denials overturned | 660 |
| Overturn rate | 95.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |