Filing · f0470
UnitedHealthcare Medicare Advantage - Contract H2226
UnitedHealth Group · Medicare Advantage · H2226 · CY2025
In 2025 this plan received 13,000 standard prior authorization requests and denied 4.3% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
4.3%
13,000 standard requests, 553 denied.
24.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 13,000 | 12,447 | 553 | 4.3% |
| Expedited | 282 | 254 | 28 | 9.9% |
This payer also printed its own standard denial rate: 4.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 83 |
| Overturn rate | 24.8% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 3.4 d |
| Expedited | 0.0 h | 12.0 h |