Filing · f0299
Humana H4461
Humana · Medicare Advantage · H4461 · 2025
In 2025 this plan received 280,178 standard prior authorization requests and denied 6.2% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
6.2%
280,178 standard requests, 17,287 denied.
67.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 280,178 | 262,891 | 17,287 | 6.2% |
| Expedited | 4,881 | 4,424 | 457 | 9.4% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 6.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 467 |
| Denials overturned | 313 |
| Overturn rate | 67.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |