Filing · f0289
Humana H0783
Humana · Medicare Advantage · H0783 · 2025
In 2025 this plan received 1,766 standard prior authorization requests and denied 12.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
12.6%
1,766 standard requests, 223 denied.
83.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,766 | 1,543 | 223 | 12.6% |
| Expedited | 50 | 44 | 6 | 12.0% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 12.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 6 |
| Denials overturned | 5 |
| Overturn rate | 83.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |