Filing · f0465
Sanford Health Plan
Sanford Health Plan · Medicare Advantage · H3186 · 2025
In 2025 this plan received 313 standard prior authorization requests and denied 6.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
6.1%
313 standard requests, 19 denied.
50.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 313 | 294 | 19 | 6.1% |
| Expedited | — | — | — | — |
This payer also printed its own standard denial rate: 6.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 4 |
| Denials overturned | 2 |
| Overturn rate | 50.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 0.6 d |
| Expedited | — | — |