Filing · f0312
Humana Healthy Horizons in Florida
Humana · Medicaid Managed Care · FL · 2025
In 2025 this plan received 746,974 standard prior authorization requests and denied 2.6% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
2.6%
746,974 standard requests, 19,097 denied.
7.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 746,974 | 727,877 | 19,097 | 2.6% |
| Expedited | 9,365 | 5,538 | 3,827 | 40.9% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 2.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 2,499 |
| Denials overturned | 190 |
| Overturn rate | 7.6% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 13.0 h | 3.0 h |