Filing · f0414
District of Columbia Dual Choice Program
UnitedHealth Group · Medicare-Medicaid Plan · DC · CY2025
In 2025 this plan received 23 standard prior authorization requests and denied 8.7% of them. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%.
Standard denial rate
8.7%
23 standard requests, 2 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 23 | 21 | 2 | 8.7% |
| Expedited | 1 | 1 | 0 | 0.0% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 0 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.9 d |
| Expedited | 0.0 h | 0.0 h |