Filing · f0381
Rocky Mountain Health Plans Medicare Advantage
Rocky Mountain Health Plans · Medicare Advantage · CO · H2582 · CY2025
In 2025 this plan received 294 standard prior authorization requests and denied 12.6% of them. The median for Medicare Advantage plans of comparable size is 10.9%. One check flagged this filing.
Standard denial rate
12.6%
294 standard requests, 37 denied.
0.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 294 | 257 | 37 | 12.6% |
| Expedited | 465 | 455 | 10 | 2.2% |
This payer also printed its own standard denial rate: 12.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1 |
| Denials overturned | 0 |
| Overturn rate | 0.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.9 d | 1.0 d |
| Expedited | 32.6 h | 19.0 h |
What the checks found
warnexpedited_exceeds_standard_volume
expedited volume 465 exceeds standard 294 (1.6x) - columns may be transposed