Filing · f0597
UnitedHealthcare MyCare Ohio
UnitedHealth Group · Medicare-Medicaid Plan · OH · CY2025
In 2025 this plan received 18,161 standard prior authorization requests and denied 4.4% of them. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%.
Standard denial rate
4.4%
18,161 standard requests, 791 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 18,161 | 17,370 | 791 | 4.4% |
| Expedited | 35 | 34 | 1 | 2.9% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 7 |
| Denials overturned | 7 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 0.0 d |
| Expedited | 0.0 h | 0.0 h |