Filing · f0387
Sanford Health Plan QHP - South Dakota
Sanford Health · Marketplace QHP · SD · SD-31195 · CY2025
In 2025 this plan received 3,454 standard prior authorization requests and denied 16.5% of them. The median for Marketplace QHP plans of comparable size is 18.3%.
Standard denial rate
16.5%
3,454 standard requests, 570 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,454 | 2,884 | 570 | 16.5% |
| Expedited | 433 | 426 | 7 | 1.6% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 23 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.2 d | 1.0 d |
| Expedited | 50.4 h | 0.0 h |