Filing · f0454
UnitedHealthcare Medicare Advantage - Contract H0421
UnitedHealth Group · Medicare Advantage · H0421 · CY2025
In 2025 this plan received 3,538 standard prior authorization requests and denied 14.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
14.4%
3,538 standard requests, 508 denied.
60.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,538 | 3,030 | 508 | 14.4% |
| Expedited | 221 | 164 | 57 | 25.8% |
This payer also printed its own standard denial rate: 14.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 60 |
| Overturn rate | 60.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 3.4 d |
| Expedited | 0.0 h | 14.4 h |