Filing · f0495
UnitedHealthcare Medicare Advantage - Contract H5322
UnitedHealth Group · Medicare Advantage · H5322 · CY2025
In 2025 this plan received 135,667 standard prior authorization requests and denied 9.0% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
9.0%
135,667 standard requests, 12,245 denied.
61.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 135,667 | 123,422 | 12,245 | 9.0% |
| Expedited | 8,923 | 8,262 | 661 | 7.4% |
This payer also printed its own standard denial rate: 9.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1,039 |
| Overturn rate | 61.6% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.5 d |
| Expedited | 0.0 h | 7.2 h |