Filing · f0460
UnitedHealthcare Medicare Advantage - Contract H0755
UnitedHealth Group · Medicare Advantage · H0755 · CY2025
In 2025 this plan received 38,238 standard prior authorization requests and denied 20.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
20.9%
38,238 standard requests, 7,998 denied.
63.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 38,238 | 30,240 | 7,998 | 20.9% |
| Expedited | 2,054 | 1,914 | 140 | 6.8% |
This payer also printed its own standard denial rate: 20.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 297 |
| Overturn rate | 63.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.7 d |
| Expedited | 0.0 h | 12.0 h |