Filing · f0283
Johns Hopkins Advantage MD (PPO) - Contract H3890
Johns Hopkins Medicine · Medicare Advantage · MD · H3890 · 2025
In 2025 this plan received 12,154 standard prior authorization requests and denied 14.7% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
14.7%
12,154 standard requests, 1,784 denied.
93.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 12,154 | 10,370 | 1,784 | 14.7% |
| Expedited | 677 | 282 | 395 | 58.4% |
This payer also printed its own standard denial rate: 14.7%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 192 |
| Denials overturned | 180 |
| Overturn rate | 93.8% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | — | — |