Filing · f0463
Sanford Health Plan
Sanford Health Plan · Medicare Advantage · H8967 · 2025
In 2025 this plan received 82 standard prior authorization requests and denied 9.8% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
9.8%
82 standard requests, 8 denied.
0.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 82 | 74 | 8 | 9.8% |
| Expedited | — | — | — | — |
This payer also printed its own standard denial rate: 9.8%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 1 |
| Denials overturned | 0 |
| Overturn rate | 0.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 0.6 d |
| Expedited | — | — |