Filing · f0464
UnitedHealthcare Medicare Advantage - Contract H1285
UnitedHealth Group · Medicare Advantage · H1285 · CY2025
In 2025 this plan received 21,449 standard prior authorization requests and denied 13.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
13.4%
21,449 standard requests, 2,883 denied.
43.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 21,449 | 18,566 | 2,883 | 13.4% |
| Expedited | 848 | 731 | 117 | 13.8% |
This payer also printed its own standard denial rate: 13.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 307 |
| Overturn rate | 43.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 2.7 d |
| Expedited | 0.0 h | 14.4 h |