Filing · f0481
UnitedHealthcare Medicare Advantage - Contract H3113
UnitedHealth Group · Medicare Advantage · H3113 · CY2025
In 2025 this plan received 35,501 standard prior authorization requests and denied 9.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
9.9%
35,501 standard requests, 3,516 denied.
58.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 35,501 | 31,985 | 3,516 | 9.9% |
| Expedited | 2,969 | 2,555 | 414 | 13.9% |
This payer also printed its own standard denial rate: 9.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 557 |
| Overturn rate | 58.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.4 d |
| Expedited | 0.0 h | 9.6 h |