Filing · f0452
UnitedHealthcare Medicare Advantage - Contract H0294
UnitedHealth Group · Medicare Advantage · H0294 · CY2025
In 2025 this plan received 90,700 standard prior authorization requests and denied 19.8% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
19.8%
90,700 standard requests, 17,985 denied.
49.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 90,700 | 72,715 | 17,985 | 19.8% |
| Expedited | 5,671 | 4,835 | 836 | 14.7% |
This payer also printed its own standard denial rate: 19.8%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 745 |
| Overturn rate | 49.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.9 d |
| Expedited | 0.0 h | 14.4 h |