Filing · f0319
Humana Healthy Horizons in Oklahoma
Humana · Medicaid Managed Care · OK · 2025
In 2025 this plan received 86,086 standard prior authorization requests and denied 8.5% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
8.5%
86,086 standard requests, 7,346 denied.
27.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 86,086 | 78,740 | 7,346 | 8.5% |
| Expedited | 3,725 | 1,663 | 2,062 | 55.4% |
| Extended review, approved | 1,451 | |||
This payer also printed its own standard denial rate: 8.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 88 |
| Denials overturned | 24 |
| Overturn rate | 27.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 7.0 h | 4.0 h |