Highmark/Independence Blue Cross

Highmark/Independence Blue Cross reported prior authorization metrics for 1 Medicare Advantage plan across 1 state under CMS rule CMS-0057-F for calendar year 2025. Across those plans, Highmark/Independence Blue Cross processed 27,105 standard prior authorization requests. The average standard prior authorization denial rate was 4%, below the national average of 11.8%. When patients or providers appealed denied prior authorizations, 80% of appeals were overturned on average. Standard prior authorization decisions took an average of 0 days.