Filing · f0287
Kaiser Foundation Health Plan of Colorado (H3138)
Kaiser Permanente · Medicare Advantage · CO · H3138 · CY2025
In 2025 this plan received 876 standard prior authorization requests and denied 8.5% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
8.5%
876 standard requests, 74 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 876 | 802 | 74 | 8.5% |
| Expedited | 530 | 492 | 38 | 7.2% |
Appeals of standard denials
| Appeals filed | 3 |
| Denials overturned | 3 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 7.0 d | 3.1 d |
| Expedited | 45.0 h | 49.0 h |