Filing · f0268
Highmark Medicare Advantage contract H7710
Highmark · Medicare Advantage · DE · H7710 · Jan 1, 2025 - Dec 31, 2025
In 2025 this plan received 671 standard prior authorization requests and denied 12.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%. One check flagged this filing.
Standard denial rate
12.4%
671 standard requests, 83 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 671 | 588 | 83 | 12.4% |
| Expedited | 41 | 37 | 4 | 9.8% |
| Extended review, approved | 5 | |||
This payer also printed its own standard denial rate: 12.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.8 d | 5.0 d |
| Expedited | — | — |
What the checks found
infoappeals_not_reported
no appeal outcome data published