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  2016 2017 2018 2019 2020
Total External Review Requests 114 130 128 155 155
       
Types of Review Requests:      
Standard 105 122 112 132 133
Urgent 9 8 16 23 22
       
Reasons for Review Requests:      
Medical Necessity 58 71 80 85 57
Investigational 41 49 38 56 54
Level of Care 3 1 3 2 1
       
Review Outcomes:      
Denials Overturned 43 38 31 35 27
Denials Upheld 34 50 42 52 43
Not Eligible for Review 27 22 32 29 42
       
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