Filing · f0288
Humana H0473
Humana · Medicare Advantage · H0473 · 2025
In 2025 this plan received 27,374 standard prior authorization requests and denied 9.5% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
9.5%
27,374 standard requests, 2,591 denied.
60.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 27,374 | 24,783 | 2,591 | 9.5% |
| Expedited | 988 | 913 | 75 | 7.6% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 9.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 68 |
| Denials overturned | 41 |
| Overturn rate | 60.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |