Filing · f0444
Texas MMP
UnitedHealth Group · Medicare-Medicaid Plan · TX · CY2025
In 2025 this plan received 240 standard prior authorization requests and denied 40.4% of them. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%. One check flagged this filing.
Standard denial rate
40.4%
240 standard requests, 97 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 240 | 143 | 97 | 40.4% |
| Expedited | 8 | 8 | 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 | 0.5 d |
| Expedited | 0.0 h | 7.2 h |
What the checks found
warnhigh_denial_rate
40.42% standard denial rate is far above the peer range