Filing · f0295
Humana H2486
Humana · Medicare Advantage · H2486 · 2025
In 2025 this plan received 9,305 standard prior authorization requests and denied 7.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
7.1%
9,305 standard requests, 664 denied.
45.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 9,305 | 8,641 | 664 | 7.1% |
| Expedited | 593 | 567 | 26 | 4.4% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 7.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 22 |
| Denials overturned | 10 |
| Overturn rate | 45.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 9.0 h | 1.0 h |