Filing · f0511
UnitedHealthcare Medicare Advantage - Contract R6801
UnitedHealth Group · Medicare Advantage · R6801 · CY2025
In 2025 this plan received 89,493 standard prior authorization requests and denied 4.0% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
4.0%
89,493 standard requests, 3,598 denied.
97.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 89,493 | 85,895 | 3,598 | 4.0% |
| Expedited | 8,492 | 8,242 | 250 | 2.9% |
This payer also printed its own standard denial rate: 4.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 383 |
| Overturn rate | 97.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.1 d |
| Expedited | 0.0 h | 7.2 h |