Filing · f0437
North Carolina Medicaid Managed Care
UnitedHealth Group · Medicaid Managed Care · NC · CY2025
In 2025 this plan received 152,752 standard prior authorization requests and denied 5.7% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
5.7%
152,752 standard requests, 8,662 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 152,752 | 144,090 | 8,662 | 5.7% |
| Expedited | 11,069 | 10,286 | 783 | 7.1% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 88 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 2.7 d |
| Expedited | 0.0 h | 19.2 h |