Filing · f0453
UnitedHealthcare Medicare Advantage - Contract H0321
UnitedHealth Group · Medicare Advantage · H0321 · CY2025
In 2025 this plan received 38,523 standard prior authorization requests and denied 10.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
10.2%
38,523 standard requests, 3,925 denied.
49.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 38,523 | 34,598 | 3,925 | 10.2% |
| Expedited | 3,355 | 3,016 | 339 | 10.1% |
This payer also printed its own standard denial rate: 10.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 461 |
| Overturn rate | 49.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 3.1 d |
| Expedited | 0.0 h | 16.8 h |