Filing · f0505
UnitedHealthcare Medicare Advantage - Contract H8768
UnitedHealth Group · Medicare Advantage · H8768 · CY2025
In 2025 this plan received 310,977 standard prior authorization requests and denied 20.6% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
20.6%
310,977 standard requests, 63,958 denied.
55.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 310,977 | 247,019 | 63,958 | 20.6% |
| Expedited | 13,391 | 12,306 | 1,085 | 8.1% |
This payer also printed its own standard denial rate: 20.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 2,438 |
| Overturn rate | 55.8% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.7 d |
| Expedited | 0.0 h | 12.0 h |