Filing · f0291
Humana H1468
Humana · Medicare Advantage · H1468 · 2025
In 2025 this plan received 209,665 standard prior authorization requests and denied 7.8% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
7.8%
209,665 standard requests, 16,409 denied.
67.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 209,665 | 193,256 | 16,409 | 7.8% |
| Expedited | 3,861 | 3,372 | 489 | 12.7% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 7.8%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 291 |
| Denials overturned | 196 |
| Overturn rate | 67.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 9.0 h | 0.0 h |