Organization Detail
Samaritan Health Plans
1 plan across 1 state · Medicare Advantage
Samaritan Health Plans reported prior authorization metrics for 1 Medicare Advantage plan across 1 state under CMS rule CMS-0057-F for calendar year 2025. The average standard prior authorization denial rate was 2.6%, below the national average of 11.8%. When patients or providers appealed denied prior authorizations, 46% of appeals were overturned on average. Standard prior authorization decisions took an average of 8.8 days.
2.6%
Samaritan Health Plans Denial Rate
standard, avg across 1 plans
11.8%
National Average
all reporting plans
-9.2%
vs. National
below average
OR1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samaritan Health Plans Medicare AdvantageMedicare Advantage | — | — | — | 93.7% | 2.6% | — | 46.0% | 54.0% | 37.9% | 62.1% | 8.8 | 8.0 |