Filing · f0274
Humana Healthy Horizons in Ohio
Humana · Medicaid Managed Care · OH · CY2025
In 2025 this plan received 61,149 standard prior authorization requests and denied 15.1% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
15.1%
61,149 standard requests, 9,240 denied.
17.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 61,149 | 51,909 | 9,240 | 15.1% |
| Expedited | 3,290 | 2,686 | 604 | 18.4% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 533 |
| Denials overturned | 92 |
| Overturn rate | 17.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 0.0 h | 0.0 h |