Filing · f0292
Humana H1951
Humana · Medicare Advantage · H1951 · 2025
In 2025 this plan received 313,462 standard prior authorization requests and denied 6.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
6.1%
313,462 standard requests, 18,988 denied.
63.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 313,462 | 294,474 | 18,988 | 6.1% |
| Expedited | 4,505 | 4,073 | 432 | 9.6% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 6.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 544 |
| Denials overturned | 343 |
| Overturn rate | 63.1% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |