myBlue (HMO) / BlueCare (HMO-POS)
GuideWell / Florida Blue · Marketplace QHP · FL · 30252 · CY2025
This plan reported a 1.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Marketplace QHP plans of comparable size is 18.3%. 2 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 1.0% |
| Expedited | — | — | — | 2.0% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 1.0%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | 30.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 0.2 d | — |
| Expedited | 0.2 h | 0.0 h |
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified