Filing · f0405
UCare Connect + Medicare
UCare · Medicare Advantage · MN · H5937 · CY2025
In 2025 this plan received 3,685 standard prior authorization requests and denied 46.6% of them. The median for Medicare Advantage plans of comparable size is 10.9%. One check flagged this filing.
Standard denial rate
46.6%
3,685 standard requests, 1,716 denied.
29.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,685 | 1,969 | 1,716 | 46.6% |
| Expedited | 241 | 201 | 40 | 16.6% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 107 |
| Denials overturned | 32 |
| Overturn rate | 29.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.0 d | 7.0 d |
| Expedited | 24.0 h | 24.0 h |
What the checks found
warnhigh_denial_rate
46.57% standard denial rate is far above the peer range