Filing · f0468
UnitedHealthcare Medicare Advantage - Contract H1889
UnitedHealth Group · Medicare Advantage · H1889 · CY2025
In 2025 this plan received 178,418 standard prior authorization requests and denied 17.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
17.1%
178,418 standard requests, 30,533 denied.
56.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 178,418 | 147,885 | 30,533 | 17.1% |
| Expedited | 11,081 | 8,766 | 2,315 | 20.9% |
This payer also printed its own standard denial rate: 17.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 2,338 |
| Overturn rate | 56.8% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.1 d |
| Expedited | 0.0 h | 12.0 h |