Filing · f0271
Highmark QHP (federal Marketplace) - New York
Highmark · Marketplace QHP · NY · Jan 1, 2025 - Dec 31, 2025
In 2025 this plan received 1,342 standard prior authorization requests and denied 3.4% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
3.4%
1,342 standard requests, 46 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,342 | 1,296 | 46 | 3.4% |
| Expedited | 165 | 148 | 17 | 10.3% |
Appeals of standard denials
| Appeals filed | 0 |
| Denials overturned | 0 |
| Overturn rate | — |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.9 d | 0.0 d |
| Expedited | 12.5 h | 0.0 h |