Filing · f0486
UnitedHealthcare Medicare Advantage - Contract H3418
UnitedHealth Group · Medicare Advantage · H3418 · CY2025
In 2025 this plan received 34,822 standard prior authorization requests and denied 21.1% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
21.1%
34,822 standard requests, 7,332 denied.
56.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 34,822 | 27,490 | 7,332 | 21.1% |
| Expedited | 1,540 | 1,425 | 115 | 7.5% |
This payer also printed its own standard denial rate: 21.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 286 |
| Overturn rate | 56.4% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.6 d |
| Expedited | 0.0 h | 9.6 h |