Filing · f0451
UnitedHealthcare Medicare Advantage - Contract H0251
UnitedHealth Group · Medicare Advantage · H0251 · CY2025
In 2025 this plan received 32,320 standard prior authorization requests and denied 15.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
15.4%
32,320 standard requests, 4,979 denied.
49.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 32,320 | 27,341 | 4,979 | 15.4% |
| Expedited | 2,491 | 2,225 | 266 | 10.7% |
This payer also printed its own standard denial rate: 15.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 469 |
| Overturn rate | 49.2% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.9 d |
| Expedited | 0.0 h | 14.4 h |