Filing · f0305
Humana H5619
Humana · Medicare Advantage · H5619 · 2025
In 2025 this plan received 1,239,541 standard prior authorization requests and denied 5.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
5.1%
1,239,541 standard requests, 63,115 denied.
66.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,239,541 | 1,176,426 | 63,115 | 5.1% |
| Expedited | 102,598 | 98,782 | 3,816 | 3.7% |
| Extended review, approved | 8 | |||
This payer also printed its own standard denial rate: 5.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1,587 |
| Denials overturned | 1,048 |
| Overturn rate | 66.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 10.0 h | 1.0 h |