Filing · f0544
UnitedHealthcare Medicare Advantage - Contract H0764
UnitedHealth Group · Medicare Advantage · H0764 · CY2025
In 2025 this plan received 499 standard prior authorization requests and denied 11.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
11.6%
499 standard requests, 58 denied.
45.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 499 | 441 | 58 | 11.6% |
| Expedited | 55 | 50 | 5 | 9.1% |
This payer also printed its own standard denial rate: 11.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 5 |
| Overturn rate | 45.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 2.1 d |
| Expedited | 0.0 h | 9.6 h |