Organization Detail
Aetna/CVS Health
4 plans across 4 states · Medicare Advantage
11.0%
Aetna/CVS Health Denial Rate
standard, avg across 4 plans
12.7%
National Average
all reporting plans
-1.7%
vs. National
near average
AL1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Better Health LA MA (H3239)Medicare Advantage | — | — | — | 89.6% | 10.4% | — | 84.7% | 15.3% | — | — | 1.7 | 0.0 | View source ↗ |
LA1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Better Health LA MA (H3239)Medicare Advantage | — | — | — | 89.6% | 10.4% | — | 84.7% | 15.3% | — | — | 1.7 | 0.0 | View source ↗ |
MS1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Better Health LA MA (H3239)Medicare Advantage | — | — | — | 89.6% | 10.4% | — | 84.7% | 15.3% | — | — | 1.7 | 0.0 | View source ↗ |
TX1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Better Health TX MA (H8597)Medicare Advantage | — | — | — | 87.3% | 12.7% | — | 86.3% | 13.7% | — | — | 1.8 | 0.0 | View source ↗ |