Filing · f0256
HealthPartners Medicare Advantage and Minnesota Senior Health Options (MSHO), combined
HealthPartners · Multiple (combined) · MN · CY2025 (January 1, 2025 - December 31, 2025)
In 2025 this plan received 11,994 standard prior authorization requests and denied 6.3% of them. The median for Multiple (combined) plans of comparable size is 6.3%.
Standard denial rate
6.3%
11,994 standard requests, 753 denied.
86.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 11,994 | 11,241 | 753 | 6.3% |
| Expedited | 1,151 | 1,082 | 69 | 6.0% |
This payer also printed its own standard denial rate: 6.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 203 |
| Denials overturned | 175 |
| Overturn rate | 86.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 7.7 h | 0.1 h |