Landmark Health UHC

Compiled by PlainInsurer, Public-data reference publisher · August 11, 2026

Contract: H3927 · Plan type: HMO

Evidence lead: Top-three record · High overturn-rate cohort

Landmark Health UHC: One of the ten highest appeal overturn rates

83.0% of this contract's filed appeals were overturned in the source record. Its overturn-rate rank is #1 of 37. The denominator is filed appeals, not all authorization requests. The percentage therefore describes reviewed appeals and must not be read as an individual outcome forecast.

Top-three record · High overturn-rate cohort

One of the ten highest appeal overturn rates

Top-three record · Broad reversal reach

Overturned appeals covered a top-ten share of denials

195 overturned appeals equal 12.4% of every denial recorded for this contract. The cross-contract rank is #1 of 37. This derived measure combines appeal filing and outcome, so it supplies scale context but does not identify clinical reasons, administrative errors, or coverage rules.

Bottom-seven record · Low appeal-filing share

Only a small share of denials entered appeal

235 appeals correspond to 15.0% of the plan's denied requests. That is rank #36 of 37 for filing share. The ratio reports aggregate activity; it cannot reveal why an appeal was or was not filed, whether the underlying cases were comparable, or what happened outside the reporting window.

Bottom-seven record · Smaller request-volume cohort

One of the narrower authorization records

The source records 32,000 requests here, placing the contract in the smallest-volume tier. Its request-volume rank is #35 of 37. Volume shows the denominator behind approvals and denials; it is not a measure of plan quality, membership, benefit breadth, price, or future coverage decisions.

Bottom-seven record · Lower denial-rate cohort

One of the ten lowest denial rates

Landmark Health UHC's 4.9% rate belongs to the lowest-denial tier in this table. The exact rank is #35 of 37. This is aggregate prior-authorization activity for the reporting window, not a probability that a particular service, drug, or beneficiary request will be denied.

Prior Authorization Scorecard

PA Requests

32,000

PA Denial Rate

4.9%

Appeals Filed

235

Appeal Overturn Rate

83.0%

Detailed Metrics

Metric	Value	% of Requests
Prior Authorization Requests	32,000	100.0%
PA Approved	30,432	95.1%
PA Denied	1,568	4.9%
Appeals Filed	235	15.0% of denials
Appeals Overturned	195	83.0% of appeals

Source: CMS Office of Inspector General report OEI-09-22-00380; KFF 2023 Medicare Advantage analysis. Verify with HHS OIG → · CMS.gov →

Sources, caveats, and related notes for Landmark Health UHC

What does Landmark Health UHC's overturn rate mean? Of the appeals filed after denials in this source record, 83% were overturned (195 of 235 filed appeals, not all 1,568 denied requests).

This data is for informational purposes only and does not constitute medical, financial, or insurance advice. Contact CMS or your plan for coverage decisions. Data from CMS OIG and KFF Medicare Advantage analysis.

Data: CMS OIG OEI-09-22-00380 and KFF 2023 Medicare Advantage analysis. Not affiliated with CMS. ← All MA plans

Read our methodology - how this data is sourced, computed, and verified.

Primary data: U.S. Department of Health & Human Services, Office of Inspector General, Medicare Advantage Encounter Data (Report OEI-09-22-00380, 2024). Secondary data: Kaiser Family Foundation 2023 Medicare Advantage Prior Authorization analysis. Methodology and editorial review by PlainInsurer, see methodology.