Filing · f0477
UnitedHealthcare Medicare Advantage - Contract H2509
UnitedHealth Group · Medicare Advantage · H2509 · CY2025
In 2025 this plan received 19,482 standard prior authorization requests and denied 12.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
12.9%
19,482 standard requests, 2,518 denied.
43.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 19,482 | 16,964 | 2,518 | 12.9% |
| Expedited | 1,829 | 1,508 | 321 | 17.6% |
This payer also printed its own standard denial rate: 12.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 409 |
| Overturn rate | 43.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.8 d |
| Expedited | 0.0 h | 12.0 h |