Filing · f0593
UnitedHealthcare Medicare Advantage - Contract R5342
UnitedHealth Group · Medicare Advantage · R5342 · CY2025
In 2025 this plan received 8,366 standard prior authorization requests and denied 22.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.
Standard denial rate
22.1%
8,366 standard requests, 1,847 denied.
48.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 8,366 | 6,519 | 1,847 | 22.1% |
| Expedited | 335 | 279 | 56 | 16.7% |
This payer also printed its own standard denial rate: 22.1%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 80 |
| Overturn rate | 48.8% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.7 d |
| Expedited | 0.0 h | 12.0 h |