Filing · f0502
UnitedHealthcare Medicare Advantage - Contract H7464
UnitedHealth Group · Medicare Advantage · H7464 · CY2025
In 2025 this plan received 12,419 standard prior authorization requests and denied 11.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
11.9%
12,419 standard requests, 1,476 denied.
32.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 12,419 | 10,943 | 1,476 | 11.9% |
| Expedited | 873 | 540 | 333 | 38.1% |
This payer also printed its own standard denial rate: 11.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 130 |
| Overturn rate | 32.3% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.1 d |
| Expedited | 0.0 h | 12.0 h |