Filing · f0407
UCare Minnesota Senior Health Options (MSHO)
UCare · Medicare Advantage · MN · H2456 · CY2025
In 2025 this plan received 4,469 standard prior authorization requests and denied 43.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%. One check flagged this filing.
Standard denial rate
43.9%
4,469 standard requests, 1,963 denied.
25.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,469 | 2,506 | 1,963 | 43.9% |
| Expedited | 612 | 563 | 49 | 8.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 102 |
| Denials overturned | 26 |
| Overturn rate | 25.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.0 d | 7.0 d |
| Expedited | 24.0 h | 24.0 h |
What the checks found
warnhigh_denial_rate
43.92% standard denial rate is far above the peer range