Filing · f0188
Wellcare Medicare Advantage H6550
Centene · Medicare Advantage · KS · H6550 · CY2025
In 2025 this plan received 5,594 standard prior authorization requests and denied 15.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
15.9%
5,594 standard requests, 889 denied.
96.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 5,594 | 4,705 | 889 | 15.9% |
| Expedited | 218 | 183 | 35 | 16.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 160 |
| Denials overturned | 155 |
| Overturn rate | 96.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |