Filing · f0491
UnitedHealthcare Medicare Advantage - Contract H4527
UnitedHealth Group · Medicare Advantage · H4527 · CY2025
In 2025 this plan received 257,844 standard prior authorization requests and denied 3.4% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
3.4%
257,844 standard requests, 8,705 denied.
93.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 257,844 | 249,139 | 8,705 | 3.4% |
| Expedited | 34,494 | 33,622 | 872 | 2.5% |
This payer also printed its own standard denial rate: 3.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1,077 |
| Overturn rate | 93.7% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.9 d |
| Expedited | 0.0 h | 4.8 h |