Elderplan
MJHS Health System · Medicare Advantage · NY · CY2025
This plan reported a 6.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.9%. 2 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 6.0% |
| Expedited | — | — | — | 2.0% |
This payer also printed its own standard denial rate: 6.0%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | 6.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 10.0 d | 12.0 d |
| Expedited | 24.0 h | 24.0 h |
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified