Filing · f0322
Humana R0110
Humana · Medicare Advantage · R0110 · 2025
In 2025 this plan received 64,860 standard prior authorization requests and denied 6.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
6.6%
64,860 standard requests, 4,300 denied.
75.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 64,860 | 60,560 | 4,300 | 6.6% |
| Expedited | 1,123 | 1,024 | 99 | 8.8% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 6.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 103 |
| Denials overturned | 78 |
| Overturn rate | 75.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 5.0 h | 0.0 h |