Filing · f0504
UnitedHealthcare Medicare Advantage - Contract H8211
UnitedHealth Group · Medicare Advantage · H8211 · CY2025
In 2025 this plan received 12,822 standard prior authorization requests and denied 20.9% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
20.9%
12,822 standard requests, 2,677 denied.
50.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 12,822 | 10,145 | 2,677 | 20.9% |
| Expedited | 243 | 215 | 28 | 11.5% |
This payer also printed its own standard denial rate: 20.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 118 |
| Overturn rate | 50.2% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.9 d |
| Expedited | 0.0 h | 19.2 h |