Filing · f0474
UnitedHealthcare Medicare Advantage - Contract H2385
UnitedHealth Group · Medicare Advantage · H2385 · CY2025
In 2025 this plan received 601 standard prior authorization requests and denied 9.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
9.2%
601 standard requests, 55 denied.
87.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 601 | 546 | 55 | 9.2% |
| Expedited | 31 | 28 | 3 | 9.7% |
This payer also printed its own standard denial rate: 9.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 7 |
| Overturn rate | 87.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 2.0 d |
| Expedited | 0.0 h | 16.8 h |