Filing · f0487
UnitedHealthcare Medicare Advantage - Contract H3794
UnitedHealth Group · Medicare Advantage · H3794 · CY2025
In 2025 this plan received 15,127 standard prior authorization requests and denied 11.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
11.9%
15,127 standard requests, 1,799 denied.
50.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 15,127 | 13,328 | 1,799 | 11.9% |
| Expedited | 755 | 416 | 339 | 44.9% |
This payer also printed its own standard denial rate: 11.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 127 |
| Overturn rate | 50.6% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.2 d |
| Expedited | 0.0 h | 19.2 h |