Filing · f0287
Humana H0292
Humana · Medicare Advantage · H0292 · 2025
In 2025 this plan received 16,471 standard prior authorization requests and denied 5.5% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
5.5%
16,471 standard requests, 909 denied.
62.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 16,471 | 15,562 | 909 | 5.5% |
| Expedited | 262 | 243 | 19 | 7.3% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 5.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 40 |
| Denials overturned | 25 |
| Overturn rate | 62.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 6.0 h | 0.0 h |