Filing · f0519
Wisconsin Medicaid
UnitedHealth Group · Medicaid Managed Care · WI · CY2025
In 2025 this plan received 80,913 standard prior authorization requests and denied 7.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
7.8%
80,913 standard requests, 6,271 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 80,913 | 74,642 | 6,271 | 7.8% |
| Expedited | 7,784 | 7,525 | 259 | 3.3% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 183 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.9 d |
| Expedited | 0.0 h | 16.8 h |