Filing · f0419
Network Health MSA Network Prime
Network Health (Wisconsin) · Medicare Advantage · WI · H1181 · CY2025
In 2025 this plan received 790 standard prior authorization requests and denied 17.5% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
17.5%
790 standard requests, 138 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 790 | 652 | 138 | 17.5% |
| Expedited | 34 | 32 | 2 | 5.9% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 0 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 2.0 d |
| Expedited | 48.0 h | 24.0 h |