Filing · f0297
Humana H3533
Humana · Medicare Advantage · H3533 · 2025
In 2025 this plan received 45,243 standard prior authorization requests and denied 8.9% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
8.9%
45,243 standard requests, 4,016 denied.
66.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 45,243 | 41,227 | 4,016 | 8.9% |
| Expedited | 1,494 | 1,310 | 184 | 12.3% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 8.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 102 |
| Denials overturned | 68 |
| Overturn rate | 66.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 6.0 h | 0.0 h |