Filing · f0386
Sanford Health Plan QHP - North Dakota
Sanford Health · Marketplace QHP · ND · ND-89364 · CY2025
In 2025 this plan received 3,646 standard prior authorization requests and denied 22.4% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
22.4%
3,646 standard requests, 817 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,646 | 2,829 | 817 | 22.4% |
| Expedited | 420 | 417 | 3 | 0.7% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 30 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 19.2 h | 0.0 h |