Filing · f0283

Braven Health

Horizon Blue Cross Blue Shield of New Jersey · Medicare Advantage · NJ · CY2025

This plan reported a 0.5% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.5%. 2 checks flagged this filing.

Standard denial rate
0.5%
This filing published percentages without counts. 96.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 0.5%
Expedited — — — 0.2%

This payer also printed its own standard denial rate: 0.5%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate96.2%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard3.0 d2.0 d
Expedited24.0 h24.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified