Filing · f0554
UnitedHealthcare Medicare Advantage - Contract H2247
UnitedHealth Group · Medicare Advantage · H2247 · CY2025
In 2025 this plan received 19,397 standard prior authorization requests and denied 11.3% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
11.3%
19,397 standard requests, 2,191 denied.
18.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 19,397 | 17,206 | 2,191 | 11.3% |
| Expedited | 1,268 | 931 | 337 | 26.6% |
This payer also printed its own standard denial rate: 11.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 213 |
| Overturn rate | 18.8% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 3.0 d |
| Expedited | 0.0 h | 12.0 h |