UnitedHealth Group Provides Fact Sheet on Medical Claims

UnitedHealth Group today provided the following information regarding UnitedHealthcare’s medical claims approval rate:

• UnitedHealthcare approves and pays about 90% of medical claims upon submission.
•  Of those that require further review, around one-half of one percent are due to medical or clinical reasons.
• About half of those not paid initially are due to administrative errors, such as missing documentation, which can be corrected.
• The majority remaining are due to factors such as an individual not having insurance coverage with UnitedHealthcare or duplicate claims submissions.
• Any other numbers being discussed in some quarters purporting to be the UnitedHealthcare approval rate are wrong.