Filing · f0485
UnitedHealthcare Medicare Advantage - Contract H3387
UnitedHealth Group · Medicare Advantage · H3387 · CY2025
In 2025 this plan received 40,768 standard prior authorization requests and denied 11.5% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
11.5%
40,768 standard requests, 4,692 denied.
43.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 40,768 | 36,076 | 4,692 | 11.5% |
| Expedited | 2,379 | 1,565 | 814 | 34.2% |
This payer also printed its own standard denial rate: 11.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 485 |
| Overturn rate | 43.9% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.4 d |
| Expedited | 0.0 h | 9.6 h |