Filing · f0251

Hamaspik Medicare Select (H0034 D-SNP & MAP Medicare, combined)

Hamaspik · Medicare Advantage · NY · H0034 · CY2025

This plan reported a 26.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.9%. 2 checks flagged this filing.

Standard denial rate
26.0%
This filing published percentages without counts. 54.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 26.0%
Expedited 20.0%

This payer also printed its own standard denial rate: 26.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate54.0%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard3.6 d2.0 d
Expedited37.7 h24.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified