Oscar Health - Michigan
Oscar Health · Marketplace QHP · MI · 77739 · CY2025
This plan reported a 20.5% 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.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 20.5% |
| Expedited | — | — | — | 24.6% |
This payer also printed its own standard denial rate: 20.5%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | 73.3% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 4.8 d | 3.7 d |
| Expedited | 24.0 h | 24.0 h |
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified