Total Denials (MTD)
43
3.5% denial rate
Appeals Pending
17
Avg 4.2 days open
Overturn Rate
38%
16 overturned MTD
Upheld
27
Denial confirmed
Denial List
Auth ID Patient Service Date Reason Level Actions
PA-2024-0411 M. Santos Cardiac Cath Apr 1 D001 — Not Med Nec L1
PA-2024-0398 J. Okafor MRI Lumbar Mar 30 D002 — Alt Tx Req'd L2
PA-2024-0385 L. Zhao Spinal Fusion Mar 28 D003 — Not Covered IRO
PA-2024-0374 R. Chen Hip Replacement Mar 25 D001 — Not Med Nec L1
PA-2024-0361 P. Adams GLP-1 Rx Mar 22 D004 — Step Therapy L1
PA-2024-0349 D. Kumar Chemo Infusion Mar 20 D005 — Site of Care L2
PA-2024-0336 S. Miller PT x 20 visits Mar 18 D006 — Freq Exceeded L1
Denial Reason Breakdown
Overturn Stats
L1 Overturn Rate 42%
L2 Overturn Rate 29%
IRO Overturn Rate 55%
Overall Overturn 38%
Appeal Timeline — PA-2024-0374 (R. Chen)
Denial Issued
Mar 25, 2024 — 10:14 AM
Initial denial: D001 — Not Medically Necessary. Hip replacement lacks conservative therapy documentation.
A
Level 1 Appeal Filed
Mar 27, 2024 — 2:30 PM
Appeal submitted by Dr. Martinez with 6 months PT records and X-ray evidence of joint deterioration.
R
Medical Director Review
Mar 28, 2024 — 11:00 AM
Under review by Dr. Jamie Davis. P2P call scheduled for Apr 2.
P
P2P Call Pending
Apr 2, 2024 — 3:00 PM (scheduled)
Peer-to-peer review call between Dr. Martinez and Medical Director.
 Page Guide
Overview
The Denial & Appeals module tracks authorization denials, enables appeal filing, and shows appeal outcomes including overturn statistics by level.
Appeal Levels
  • L1: Internal review — first line appeal to UM committee
  • L2: External review — second level escalation
  • IRO: Independent Review Organization — regulatory requirement
Denial Reason Codes
  • D001 — Not Medically Necessary
  • D002 — Alternative Treatment Required
  • D003 — Not a Covered Benefit
  • D004 — Step Therapy Protocol
  • D005 — Site of Care Issue
  • D006 — Frequency Limit Exceeded
Filing Appeals
Click Appeal on any denial row to open the appeal form. Attach supporting clinical documentation to improve overturn likelihood. A P2P call can be requested after filing.