Filing · f0354

Oscar Health - Iowa

Oscar Health · Marketplace QHP · IA · 45819 · CY2025

This plan reported a 17.6% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Marketplace QHP plans of comparable size is 18.3%. 2 checks flagged this filing.

Standard denial rate
17.6%
This filing published percentages without counts. 33.9% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 17.6%
Expedited 42.5%

This payer also printed its own standard denial rate: 17.6%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate33.9%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard3.8 d2.0 d
Expedited48.0 h48.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified