Filing · f0457

UnitedHealthcare Medicare Advantage - Contract H0609

UnitedHealth Group · Medicare Advantage · H0609 · CY2025

In 2025 this plan received 705,296 standard prior authorization requests and denied 7.3% of them. The median for Medicare Advantage plans of comparable size is 10.9%.

Standard denial rate
7.3%
705,296 standard requests, 51,676 denied. 81.7% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 705,296 653,620 51,676 7.3%
Expedited 96,093 92,936 3,157 3.3%

This payer also printed its own standard denial rate: 7.3%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned4,355
Overturn rate81.7%

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

Turnaround
MeanMedian
Standard0.0 d1.4 d
Expedited0.0 h7.2 h