Filing · f0252

Med-QUEST aggregate (QUEST Integration plans plus FFS)

Hawaii Med-QUEST · Medicaid FFS · HI · CY2025

In 2025 this plan received 122,333 standard prior authorization requests and denied 8.3% of them. The median for Medicaid FFS plans of comparable size is 7.4%. 2 checks flagged this filing.

Standard denial rate
8.3%
122,333 standard requests.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 122,333 8.3%
Expedited 19,581 2.9%

This payer also printed its own standard denial rate: 8.3%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate

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

Turnaround
MeanMedian
Standard4.2 d1.0 d
Expedited17.3 h7.0 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