Filing · f0370
Managed Health Services
Managed Health Services · Unclassified ·
In 2025 this plan received 79,377 standard prior authorization requests and denied 25.7% of them. The median for Unclassified plans of comparable size is 18.0%.
Standard denial rate
25.7%
79,377 standard requests, 20,430 denied.
32.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 79,377 | 58,947 | 20,430 | 25.7% |
| Expedited | 2,175 | 1,831 | 344 | 15.8% |
| Extended review, approved | 7,863 | |||
This payer also printed its own standard denial rate: 25.7%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1,470 |
| Denials overturned | 474 |
| Overturn rate | 32.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 0.0 h |