Filing · f0507
UnitedHealthcare Medicare Advantage - Contract R0759
UnitedHealth Group · Medicare Advantage · R0759 · CY2025
In 2025 this plan received 13,563 standard prior authorization requests and denied 21.2% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
21.2%
13,563 standard requests, 2,872 denied.
62.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 13,563 | 10,691 | 2,872 | 21.2% |
| Expedited | 1,048 | 950 | 98 | 9.4% |
This payer also printed its own standard denial rate: 21.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 158 |
| Overturn rate | 62.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.8 d |
| Expedited | 0.0 h | 12.0 h |