Filing · f0316
Humana Healthy Horizons in Louisiana
Humana · Medicaid Managed Care · LA · 2025
In 2025 this plan received 36,389 standard prior authorization requests and denied 4.9% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
4.9%
36,389 standard requests, 1,768 denied.
30.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 36,389 | 34,621 | 1,768 | 4.9% |
| Expedited | 797 | 554 | 243 | 30.5% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 4.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 55 |
| Denials overturned | 17 |
| Overturn rate | 30.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 7.0 h | 3.0 h |