Filing · f0289
Kaiser Foundation Health Plan of Georgia
Kaiser Permanente · Medicare Advantage · GA · H1170 · CY2025
In 2025 this plan received 51,523 standard prior authorization requests and denied 3.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
3.1%
51,523 standard requests, 1,615 denied.
51.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 51,523 | 49,908 | 1,615 | 3.1% |
| Expedited | 8,643 | 8,372 | 271 | 3.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 27 |
| Denials overturned | 14 |
| Overturn rate | 51.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.5 d | 4.8 d |
| Expedited | 35.0 h | 23.0 h |