Skip to main content

Search

  2017 2018 2019 2020 2021
Total External Review Requests 130 128 155 155 78
       
Types of Review Requests:      
Standard 122 112 132 133 69
Urgent 8 16 23 22 9
       
Reasons for Review Requests:      
Medical Necessity 71 80 85 57 31
Investigational 49 38 56 54 36
Level of Care 1 3 2 1 0
       
Review Outcomes:      
Denials Overturned 38 31 35 27 7
Denials Upheld 50 42 52 43 23
Not Eligible for Review 22 32 29 42 14
       
Cell Phone IconNeed more info? Contact us at 208 334-4319 or email us .
Consumer Affairs Officers are available to answer your questions 8-5 M-F MST