Filing · f0497
UnitedHealthcare Medicare Advantage - Contract H5435
UnitedHealth Group · Medicare Advantage · H5435 · CY2025
In 2025 this plan received 82 standard prior authorization requests and denied 22.0% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
22.0%
82 standard requests, 18 denied.
33.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 82 | 64 | 18 | 22.0% |
| Expedited | 7 | 7 | 0 | 0.0% |
This payer also printed its own standard denial rate: 22.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1 |
| Overturn rate | 33.3% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.0 d | 5.5 d |
| Expedited | 48.0 h | 40.8 h |