Filing · f0475
UnitedHealthcare Medicare Advantage - Contract H2406
UnitedHealth Group · Medicare Advantage · H2406 · CY2025
In 2025 this plan received 416,396 standard prior authorization requests and denied 17.3% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
17.3%
416,396 standard requests, 71,934 denied.
62.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 416,396 | 344,462 | 71,934 | 17.3% |
| Expedited | 32,936 | 30,982 | 1,954 | 5.9% |
This payer also printed its own standard denial rate: 17.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 3,735 |
| Overturn rate | 62.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.8 d |
| Expedited | 0.0 h | 9.6 h |