Filing · f0186
Wellcare Medicare Advantage H5590
Centene · Medicare Advantage · AZ · H5590 · CY2025
In 2025 this plan received 43,816 standard prior authorization requests and denied 17.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
17.1%
43,816 standard requests, 7,481 denied.
94.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 43,816 | 36,335 | 7,481 | 17.1% |
| Expedited | 2,871 | 2,479 | 392 | 13.7% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 826 |
| Denials overturned | 780 |
| Overturn rate | 94.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |