Filing · f0239
Excellus BCBS Medicare PPO
Excellus BlueCross BlueShield · Medicare Advantage · NY · H3335 · CY2025
In 2025 this plan received 117,729 standard prior authorization requests and denied 6.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
6.2%
117,729 standard requests, 7,247 denied.
28.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 117,729 | 110,482 | 7,247 | 6.2% |
| Expedited | 6,240 | 5,288 | 952 | 15.3% |
This payer also printed its own standard denial rate: 6.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1,445 |
| Denials overturned | 417 |
| Overturn rate | 28.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 14.4 h | 4.8 h |