Filing · f0591
UnitedHealthcare Medicare Advantage - Contract R2604
UnitedHealth Group · Medicare Advantage · R2604 · CY2025
In 2025 this plan received 11,155 standard prior authorization requests and denied 20.6% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
20.6%
11,155 standard requests, 2,301 denied.
54.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 11,155 | 8,854 | 2,301 | 20.6% |
| Expedited | 465 | 389 | 76 | 16.3% |
This payer also printed its own standard denial rate: 20.6%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 113 |
| Overturn rate | 54.9% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.8 d |
| Expedited | 0.0 h | 12.0 h |