Filing · f0476

UnitedHealthcare Medicare Advantage - Contract H2445

UnitedHealth Group · Medicare Advantage · H2445 · CY2025

In 2025 this plan received 18,682 standard prior authorization requests and denied 13.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.

Standard denial rate
13.2%
18,682 standard requests, 2,473 denied. 41.2% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 18,682 16,209 2,473 13.2%
Expedited 1,270 928 342 26.9%

This payer also printed its own standard denial rate: 13.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned238
Overturn rate41.2%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard1.0 d3.0 d
Expedited0.0 h14.4 h