Filing · f0435

Oscar Health - Oklahoma

Oscar Health · Marketplace QHP · OK · 91908 · CY2025

This plan reported a 18.5% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Marketplace QHP plans of comparable size is 17.6%. 2 checks flagged this filing.

Standard denial rate
18.5%
This filing published percentages without counts. 100.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 18.5%
Expedited — — — 25.0%

This payer also printed its own standard denial rate: 18.5%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate100.0%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard2.9 d1.4 d
Expedited43.2 h21.6 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified