External Review Requests - Annual Statistics
| 2010 | 2011 | 2012 | |
| Total External Review Requests | 13 | 30 | 45 |
| Types of Review Requests: | |||
| Standard | 10 | 24 | 35 |
| Urgent | 3 | 6 | 10 |
| Reasons for Review Requests: | |||
| Medical Necessity | 4 | 13 | 29 |
| Investigational | 9 | 16 | 16 |
| Level of Care | 0 | 1 | 0 |
| Review Outcomes: | |||
| Denials Overturned | 2 | 10 | 20 |
| Denials Upheld | 8 | 14 | 15 |
| Not Eligible for Review | 3 | 6 | 10 |
| Known Recoveries | (Unknown) | $284,821 | $147,552 |