Filing · f0400
EssentiaCare Plans
UCare · Medicare Advantage · MN · H8783 · CY2025
In 2025 this plan received 382 standard prior authorization requests and denied 35.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
35.1%
382 standard requests, 134 denied.
75.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 382 | 248 | 134 | 35.1% |
| Expedited | 38 | 36 | 2 | 5.3% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 8 |
| Denials overturned | 6 |
| Overturn rate | 75.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 24.0 h | 24.0 h |