Filing · f0284
Johns Hopkins Advantage MD (VA HMO) - Contract H1339
Johns Hopkins Medicine · Medicare Advantage · VA · H1339 · 2025
In 2025 this plan received 13 standard prior authorization requests and denied 15.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
15.4%
13 standard requests, 2 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 13 | 11 | 2 | 15.4% |
| Expedited | 1 | 0 | 1 | 100.0% |
This payer also printed its own standard denial rate: 15.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1 |
| Denials overturned | 1 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | — | — |