Filing · f0478
UnitedHealthcare Medicare Advantage - Contract H2531
UnitedHealth Group · Medicare Advantage · H2531 · CY2025
In 2025 this plan received 7,282 standard prior authorization requests and denied 6.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
6.2%
7,282 standard requests, 453 denied.
30.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 7,282 | 6,829 | 453 | 6.2% |
| Expedited | 83 | 81 | 2 | 2.4% |
This payer also printed its own standard denial rate: 6.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 99 |
| Overturn rate | 30.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.2 d |
| Expedited | 0.0 h | 12.0 h |