Filing · f0482
UnitedHealthcare Medicare Advantage - Contract H3256
UnitedHealth Group · Medicare Advantage · H3256 · CY2025
In 2025 this plan received 18,400 standard prior authorization requests and denied 12.6% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
12.6%
18,400 standard requests, 2,310 denied.
71.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 18,400 | 16,090 | 2,310 | 12.6% |
| Expedited | 560 | 437 | 123 | 22.0% |
This payer also printed its own standard denial rate: 12.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 264 |
| Overturn rate | 71.4% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.3 d |
| Expedited | 0.0 h | 12.0 h |