Filing · f0467
UnitedHealthcare Medicare Advantage - Contract H1659
UnitedHealth Group · Medicare Advantage · H1659 · CY2025
In 2025 this plan received 810 standard prior authorization requests and denied 20.7% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
20.7%
810 standard requests, 168 denied.
75.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 810 | 642 | 168 | 20.7% |
| Expedited | 56 | 53 | 3 | 5.4% |
This payer also printed its own standard denial rate: 20.7%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 3 |
| Overturn rate | 75.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.6 d |
| Expedited | 0.0 h | 14.4 h |