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Devoted HealthDenial Rates & Appeal Data

Medicare AdvantageReporting year 2025

Compare against every insurer we track: denial rates ranked within reporting cohorts.

Prior-auth denial rate
8.3%
of Medicare Advantage contracts, including supplemental dental requests denied
PA requests
185K
reported within the published scope for 2025
Standard decision time
34.3h
average reported
Expedited decision time
9.2h
average reported

COVERAGE RIGHTS ROLLUP · CALCULATED FROM DEVOTED HEALTH PUBLIC DISCLOSURES

Coverage Rights rollup computed from Devoted's posted per-contract tables for 33 Medicare Advantage contracts, including supplemental dental determinations. Devoted separately publishes a 94.6% approved headline on a basis that does not include supplemental dental, so the figures are not directly comparable. Appeal-volume figures are not disclosed, so an overturn rate is not derivable.

UNDERLYING SOURCE: DEVOTED HEALTH CMS-0057-F DISCLOSURE, CY2025 · VIEW SOURCE ↗ · METHODOLOGY

Your appeal deadline depends on your plan type

Devoted Health runs this kind of plan, and the appeal rules follow the plan, not the insurer. Find the ladder and the deadlines for yours:

Medicare Advantage appeal rights

Common questions

What is Devoted Health's prior authorization denial rate?

Coverage Rights calculated a 8.3% prior-authorization denial rate for the Medicare Advantage contracts, including supplemental dental reporting scope in 2025, using the public disclosure required by federal rule CMS-0057-F.

How do I appeal a Devoted Health denial?

Start with the appeal instructions in Devoted Health's denial notice. An independent external, fair-hearing, or Medicare review may be available after the required internal review, but eligibility depends on the coverage program, plan funding, denial type, regulating jurisdiction, and whether the notice says internal review is exhausted. Use the pathway tool before choosing the next reviewer.

Where do these numbers come from?

Coverage Rights calculated the displayed rollup from Devoted Health's public CMS-0057-F disclosures for 2025. The methodology note identifies the included reporting scope and weighting or aggregation method; source links lead to the underlying insurer-published records.

Denied by Devoted Health? An initial denial can be appealed. Build a clear, evidence-backed response.

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