Filing · f0575
UnitedHealthcare Medicare Advantage - Contract H4604
UnitedHealth Group · Medicare Advantage · H4604 · CY2025
In 2025 this plan received 88,018 standard prior authorization requests and denied 14.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
14.6%
88,018 standard requests, 12,805 denied.
71.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 88,018 | 75,213 | 12,805 | 14.6% |
| Expedited | 8,357 | 7,971 | 386 | 4.6% |
This payer also printed its own standard denial rate: 14.5%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 887 |
| Overturn rate | 71.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.9 d |
| Expedited | 0.0 h | 4.8 h |