Filing · f0244
GHC-SCW Qualified Health Plan (Marketplace)
Group Health Cooperative of South Central Wisconsin · Marketplace QHP · WI · CY2025 (Jan 1 - Dec 31, 2025)
This plan reported a 3.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Marketplace QHP plans of comparable size is 17.6%. One check flagged this filing.
Standard denial rate
3.0%
This filing published percentages without counts.
25.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 3.0% |
| Expedited | — | — | — | 3.0% |
This payer also printed its own standard denial rate: 3.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 4 |
| Denials overturned | — |
| Overturn rate | 25.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 4.8 h | 0.0 h |
What the checks found
infopercentages_only
filing publishes percentages without underlying counts; arithmetic cannot be verified