Filing · f0449
UnitedHealthcare Community Plan of Ohio
UnitedHealth Group · Medicaid Managed Care · OH · CY2025
In 2025 this plan received 113,463 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%
113,463 standard requests, 6,486 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 113,463 | 106,977 | 6,486 | 5.7% |
| Expedited | 6,746 | 6,385 | 361 | 5.4% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 225 |
| Denials overturned | 225 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 0.0 h | 24.0 h |