Filing · f0465
UnitedHealthcare Medicare Advantage - Contract H1360
UnitedHealth Group · Medicare Advantage · H1360 · CY2025
In 2025 this plan received 1,935 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%
1,935 standard requests, 141 denied.
57.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,935 | 1,794 | 141 | 7.3% |
| Expedited | 306 | 293 | 13 | 4.3% |
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 overturned | 8 |
| Overturn rate | 57.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.5 d |
| Expedited | 0.0 h | 7.2 h |