Filing · f0522
Univera Healthcare Medicare HMO
Univera Healthcare · Medicare Advantage · NY · H3351 · CY2025
In 2025 this plan received 32,879 standard prior authorization requests and denied 5.0% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
5.0%
32,879 standard requests, 1,651 denied.
28.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 32,879 | 31,228 | 1,651 | 5.0% |
| Expedited | 847 | 733 | 114 | 13.5% |
This payer also printed its own standard denial rate: 5.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 315 |
| Denials overturned | 90 |
| Overturn rate | 28.6% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.9 d | 0.0 d |
| Expedited | 16.8 h | 2.4 h |