What is the appeals process for a delayed UnitedHealthcare prior authorization decision regarding elective spine surgery?
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Fan-out diagram
The searches the AI actually ran for this prompt.
SEED QUERY
What is the appeals process for a delayed UnitedHealthcare prior authorization decision regarding elective spine surgery?
4 real searches · 1 real-search pass
UnitedHealthcare prior authorization delayed decision appeal process pre-service claim 15 days officialGoogle ↗
OBSERVED
DOL ERISA pre-service claim decision 15 days extension appeal deemed denied officialGoogle ↗
OBSERVED
CMS Medicare Advantage prior authorization standard 7 calendar days expedited 72 hours 2024 officialGoogle ↗
OBSERVED
California health plan prior authorization decision timeframe elective surgery appeal DMHC 2026 officialGoogle ↗
OBSERVED
Badge and edge weight = share of passes that produced the query. Hover a query for its intent and routing format.
Query classes
Google's semantic query class for every sub-query: what kind of answer each search is after, simulated vs real.
Classifying 4 queries…
Searches and sources
ChatGPT4 real searches · gpt-6
UnitedHealthcare prior authorization delayed decision appeal process pre-service claim 15 days official Google ↗
DOL ERISA pre-service claim decision 15 days extension appeal deemed denied official Google ↗
CMS Medicare Advantage prior authorization standard 7 calendar days expedited 72 hours 2024 official Google ↗
California health plan prior authorization decision timeframe elective surgery appeal DMHC 2026 official Google ↗
- Filing a Claim for Your Health Benefits · dol.gov
- Improving Prior Authorization Processes · cms.gov
- CMS Interoperability and Prior Authorization Final Rule CMS-0057-F · cms.gov
- Reconsideration by the Medicare Advantage (Part C) Health Plan · cms.gov
- Pre- and post-service appeals and reconsiderations · uhcprovider.com
- 2025 UnitedHealthcare Care Provider Administrative Guide for Commercial, Exchange, and Medicare Advantage · uhcprovider.com
- 29 CFR § 2560.503-1 - Claims procedure. | Electronic Code of Federal Regulations (e-CFR) | US Law · law.cornell.edu
- Compliance Assistance - Group Health and Disability Plans Benefit Claims Procedure Regulation (29 CFR 2560.503-1) · dol.gov
- Filing a Claim for Your Health or Disability Benefits · dol.gov
- What to Do if You Have a Problem with Your Policy · insurance.ca.gov
- Health Insurance Guide · insurance.ca.gov
Queries
4 queries · click a column to sort
| Query / type | Search | Intent | Query class | Routing format | Cluster | Freq ↓ | Weight |
|---|---|---|---|---|---|---|---|
UnitedHealthcare prior authorization delayed decision appeal process pre-service claim 15 days official OBSERVED | Google ↗ AI Mode ↗ | — | — | — | — | 1x of 1 | |
DOL ERISA pre-service claim decision 15 days extension appeal deemed denied official OBSERVED | Google ↗ AI Mode ↗ | — | — | — | — | 1x of 1 | |
CMS Medicare Advantage prior authorization standard 7 calendar days expedited 72 hours 2024 official OBSERVED | Google ↗ AI Mode ↗ | — | — | — | — | 1x of 1 | |
California health plan prior authorization decision timeframe elective surgery appeal DMHC 2026 official OBSERVED | Google ↗ AI Mode ↗ | — | — | — | — | 1x of 1 |