Filing · f0493
UnitedHealthcare Medicare Advantage - Contract H5008
UnitedHealth Group · Medicare Advantage · H5008 · CY2025
In 2025 this plan received 28,492 standard prior authorization requests and denied 15.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
15.2%
28,492 standard requests, 4,340 denied.
50.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 28,492 | 24,152 | 4,340 | 15.2% |
| Expedited | 1,711 | 1,371 | 340 | 19.9% |
This payer also printed its own standard denial rate: 15.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 375 |
| Overturn rate | 50.3% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.2 d |
| Expedited | 0.0 h | 14.4 h |