Filing · f0490
UnitedHealthcare Medicare Advantage - Contract H4514
UnitedHealth Group · Medicare Advantage · H4514 · CY2025
In 2025 this plan received 226,988 standard prior authorization requests and denied 4.8% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
4.8%
226,988 standard requests, 10,850 denied.
90.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 226,988 | 216,138 | 10,850 | 4.8% |
| Expedited | 27,662 | 26,724 | 938 | 3.4% |
This payer also printed its own standard denial rate: 4.8%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1,289 |
| Overturn rate | 90.0% |
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 | 7.2 h |