Filing · f0308
Generations Advantage HMO - Optum oncology/radiology
Martin's Point Health Care · Medicare Advantage · ME · H5591 · CY2025
In 2025 this plan received 6,655 standard prior authorization requests and denied 4.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
4.9%
6,655 standard requests, 329 denied.
80.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,655 | 6,326 | 329 | 4.9% |
| Expedited | 56 | 48 | 8 | 14.3% |
Appeals of standard denials
| Appeals filed | 41 |
| Denials overturned | 33 |
| Overturn rate | 80.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | — | — |
| Expedited | — | — |