Filing · f0442
Tennessee TennCare
UnitedHealth Group · Medicaid Managed Care · TN · CY2025
In 2025 this plan received 104,271 standard prior authorization requests and denied 6.5% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
6.5%
104,271 standard requests, 6,817 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 104,271 | 97,454 | 6,817 | 6.5% |
| Expedited | 6,835 | 6,592 | 243 | 3.6% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 215 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 3.0 d |
| Expedited | 0.0 h | 9.6 h |