Filing · f0488
UnitedHealthcare Medicare Advantage - Contract H3805
UnitedHealth Group · Medicare Advantage · H3805 · CY2025
In 2025 this plan received 106,551 standard prior authorization requests and denied 14.5% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
14.5%
106,551 standard requests, 15,484 denied.
62.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 106,551 | 91,067 | 15,484 | 14.5% |
| Expedited | 7,481 | 7,033 | 448 | 6.0% |
This payer also printed its own standard denial rate: 14.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 884 |
| Overturn rate | 62.1% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.1 d |
| Expedited | 0.0 h | 12.0 h |