Filing · f0311
Generations Advantage LPPO - Optum oncology/radiology
Martin's Point Health Care · Medicare Advantage · ME · H1365 · CY2025
In 2025 this plan received 387 standard prior authorization requests and denied 2.8% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
2.8%
387 standard requests, 11 denied.
75.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 387 | 376 | 11 | 2.8% |
| Expedited | 4 | 4 | 0 | 0.0% |
Appeals of standard denials
| Appeals filed | 4 |
| Denials overturned | 3 |
| Overturn rate | 75.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | — | — |
| Expedited | — | — |