Filing · f0406
UCare Medicare Plans
UCare · Medicare Advantage · MN · H2459 · CY2025
In 2025 this plan received 18,305 standard prior authorization requests and denied 28.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
28.9%
18,305 standard requests, 5,292 denied.
52.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 18,305 | 13,013 | 5,292 | 28.9% |
| Expedited | 2,011 | 1,911 | 100 | 5.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 208 |
| Denials overturned | 109 |
| Overturn rate | 52.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 24.0 h | 24.0 h |