Filing · f0644
Wellcare
Wellcare · Medicare Advantage · H4073 ·
In 2025 this plan received 8,937 standard prior authorization requests and denied 13.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
13.6%
8,937 standard requests, 1,212 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 8,937 | 7,725 | 1,212 | 13.6% |
| Expedited | 1,129 | 935 | 194 | 17.2% |
| Extended review, approved | 0 | |||
This payer also printed its own standard denial rate: 13.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 108 |
| Denials overturned | 108 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |