Filing · f0440
Pennsylvania Medicaid
UnitedHealth Group · Medicaid Managed Care · PA · CY2025
In 2025 this plan received 27,830 standard prior authorization requests and denied 19.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
19.8%
27,830 standard requests, 5,498 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 27,830 | 22,332 | 5,498 | 19.8% |
| Expedited | 1,025 | 936 | 89 | 8.7% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 51 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.2 d |
| Expedited | 0.0 h | 7.2 h |