State Detail
Nevada
1 plan reporting · CY 2025
Across 1 plan reporting in Nevada, standard prior authorization denial rates range from 17.3% to 17.3%, averaging 17.3%. Among plans reporting appeal outcomes, 95.7% of appealed denials are overturned. All data is from mandatory CMS-0057-F disclosures for calendar year 2025.
Plan Comparison
| Standard | Expedited | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan | Org | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Requests | Approved | Denied | Appr % | Denial % | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
| Centene Corporation | ||||||||||||||||||||||||||
| Wellcare Medicare Advantage H0351Medicare Advantage | Centene Corporation | 33,259 | 27,519 | 5,740 | 82.7% | 17.3% | 690 | 95.7% | 4.3% | 0.0% | 100.0% | 3.0 | 1.0 | 2,439 | 2,094 | 345 | 85.8% | 14.2% | 112 | 98.2% | 1.8% | 0.0% | 100.0% | 1.0 | 1.0 | View source ↗ |
Standard Denial Rates by Plan
Appeals Analysis
Plans in the upper-right deny frequently and have high overturn rates — suggesting inappropriate denials.
Similar Denial Rates