Filing · f0498
UnitedHealthcare Medicare Advantage - Contract H5652
UnitedHealth Group · Medicare Advantage · H5652 · CY2025
In 2025 this plan received 3,326 standard prior authorization requests and denied 1.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%. One check flagged this filing.
Standard denial rate
1.2%
3,326 standard requests, 41 denied.
15.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,326 | 3,285 | 41 | 1.2% |
| Expedited | 24 | 21 | 3 | 12.5% |
This payer also printed its own standard denial rate: 1.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 2 |
| Overturn rate | 15.4% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.6 d |
| Expedited | 24.0 h | 19.2 h |
What the checks found
warnexpedited_slower_than_standard
expedited mean 24.0h exceeds standard mean 0.00d (0h)