Filing · f0450
UnitedHealthcare Medicare Advantage - Contract H0169
UnitedHealth Group · Medicare Advantage · H0169 · CY2025
In 2025 this plan received 40,168 standard prior authorization requests and denied 13.5% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
13.5%
40,168 standard requests, 5,432 denied.
47.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 40,168 | 34,736 | 5,432 | 13.5% |
| Expedited | 1,325 | 969 | 356 | 26.9% |
This payer also printed its own standard denial rate: 13.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 484 |
| Overturn rate | 47.4% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.9 d |
| Expedited | 0.0 h | 14.4 h |