Filing · peakhealth-2025
Peak Health
Peak Health · Medicare Advantage · WV · CY2025
In 2025 this plan received 937 standard prior authorization requests and denied 1.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%. 2 checks flagged this filing.
Standard denial rate
1.1%
937 standard requests, 10 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 937 | 927 | 10 | 1.1% |
| Expedited | 4,664 | 4,584 | 80 | 1.7% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.0 d | 4.0 d |
| Expedited | 24.0 h | 0.0 h |
What the checks found
warnexpedited_exceeds_standard_volume
expedited volume 4,664 exceeds standard 937 (5.0x) - columns may be transposed
infoappeals_not_reported
no appeal outcome data published