Filing · f0301
Humana H5178
Humana · Medicare Advantage · H5178 · 2025
In 2025 this plan received 567 standard prior authorization requests and denied 8.3% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
8.3%
567 standard requests, 47 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 567 | 520 | 47 | 8.3% |
| Expedited | 5 | 4 | 1 | 20.0% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 8.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 0 |
| Denials overturned | 0 |
| Overturn rate | — |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 11.0 h | 0.0 h |