Filing · f0546
UnitedHealthcare Medicare Advantage - Contract H1278
UnitedHealth Group · Medicare Advantage · H1278 · CY2025
In 2025 this plan received 213,495 standard prior authorization requests and denied 4.5% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
4.5%
213,495 standard requests, 9,622 denied.
85.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 213,495 | 203,873 | 9,622 | 4.5% |
| Expedited | 23,935 | 23,348 | 587 | 2.5% |
This payer also printed its own standard denial rate: 4.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1,132 |
| Overturn rate | 85.8% |
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 | 4.8 h |