Filing · f0455

UnitedHealthcare Medicare Advantage - Contract H0432

UnitedHealth Group · Medicare Advantage · H0432 · CY2025

In 2025 this plan received 39,696 standard prior authorization requests and denied 15.7% of them. The median for Medicare Advantage plans of comparable size is 10.9%.

Standard denial rate

15.7%

39,696 standard requests, 6,223 denied. 58.8% of appealed denials were overturned.

Requests and outcomes

	Total	Approved	Denied	Denial rate
Standard	39,696	33,473	6,223	15.7%
Expedited	2,665	2,440	225	8.4%

This payer also printed its own standard denial rate: 15.7%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials

Appeals filed	—
Denials overturned	332
Overturn rate	58.8%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround

	Mean	Median
Standard	1.0 d	2.2 d
Expedited	0.0 h	14.4 h

Source

https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/CMS-Interoperability-Medicare-Advantage-2025.pdf

Expedited TAT printed in days; CONVERTED to hours (x24). Standard TAT as printed in days. UHC states it does not extend PA review timeframes, so no extension data exists. Mean TAT is printed as whole days beside/under the one-decimal median, so mean<median on most rows. No appeals-received count or external-review outcomes are published (nulls). No plan name/state published.

Filing ID: f0455
Published: counts
Collector: uhc_ma

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