Filing · f0484
UnitedHealthcare Medicare Advantage - Contract H3379
UnitedHealth Group · Medicare Advantage · H3379 · CY2025
In 2025 this plan received 67,401 standard prior authorization requests and denied 21.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
21.4%
67,401 standard requests, 14,408 denied.
54.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 67,401 | 52,993 | 14,408 | 21.4% |
| Expedited | 4,168 | 3,896 | 272 | 6.5% |
This payer also printed its own standard denial rate: 21.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 595 |
| Overturn rate | 54.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.9 d |
| Expedited | 0.0 h | 12.0 h |