Filing · f0408
UCare Your Choice Plans
UCare · Medicare Advantage · MN · H8070 · CY2025
In 2025 this plan received 3,837 standard prior authorization requests and denied 22.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
22.9%
3,837 standard requests, 878 denied.
57.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,837 | 2,959 | 878 | 22.9% |
| Expedited | 816 | 750 | 66 | 8.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 166 |
| Denials overturned | 95 |
| Overturn rate | 57.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |