Filing · f0303
Humana H5377
Humana · Medicare Advantage · H5377 · 2025
In 2025 this plan received 1,197 standard prior authorization requests and denied 7.2% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
7.2%
1,197 standard requests, 86 denied.
50.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,197 | 1,111 | 86 | 7.2% |
| Expedited | 23 | 20 | 3 | 13.0% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 7.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 2 |
| Denials overturned | 1 |
| Overturn rate | 50.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |