Filing · f0313
Mass General Brigham Advantage Secure HMO-POS
Mass General Brigham · Medicare Advantage · MA · H6847 · CY2025
In 2025 this plan received 1,954 standard prior authorization requests and denied 11.0% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
11.0%
1,954 standard requests, 215 denied.
67.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,954 | 1,739 | 215 | 11.0% |
| Expedited | 181 | 172 | 9 | 5.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 37 |
| Denials overturned | 25 |
| Overturn rate | 67.6% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 7.3 d | 1.0 d |
| Expedited | 36.0 h | 30.0 h |