Upload the denial. Muni reads UHC's reasoning — commercial, Optum, or Oxford — cites the relevant clinical policy, and drafts a review-ready appeal in minutes.
No credit card required • First 3 appeals free • Works with Optum & Oxford
How it starts
The UHC denial categories we see most, and how Muni structures the appeal for each one.
UHC requires extensive clinical justification with specific evidence criteria. Muni generates comprehensive appeals citing UHC's clinical policies, InterQual criteria, and peer-reviewed clinical evidence.
UHC's Optum division manages prior auth with strict requirements. We craft appeals demonstrating emergency circumstances, clinical urgency, or administrative barriers that prevented timely PA requests.
UHC frequently denies newer treatments as experimental. Muni appeals with FDA approval status, published clinical trial data, professional society guidelines, and evidence of standard-of-care acceptance.
For out-of-network denials, we leverage UHC's network adequacy requirements and demonstrate lack of in-network specialists with required expertise, or establish continuity of care needs.
UHC denies for CPT/ICD-10 code combinations or insufficient documentation. Our AI verifies coding against UHC's specific edits and provides corrected documentation with proper clinical justification.
From UHC denial letter to review-ready appeal in minutes.
Our AI reads UnitedHealthcare's specific denial reason, policy references, CPT codes, and appeal deadline. Works with UHC commercial plans, Medicare Advantage, Optum, and Oxford Health Plans.
Muni's multi-agent AI system researches:
Within minutes, receive a comprehensive appeal letter customized to UnitedHealthcare's specific requirements, including medical necessity justification, policy-specific arguments, and supporting clinical evidence—ready for your review.
Report the outcome to help our AI learn. Every UHC appeal teaches the system, identifying denial patterns specific to UnitedHealthcare's review process.
Start with 3 free appeals. Works with Optum and Oxford. No credit card required. See the full draft before you spend a dollar.
HIPAA compliant • First 3 appeals free • Then $20 per appeal
Questions, answered
Everything you need to know about appealing UnitedHealthcare denials
Yes. Optum is UnitedHealth Group's health services division, and Oxford is a UHC subsidiary. Muni handles all UHC, Optum, and Oxford denials with appropriate policy references and clinical justifications specific to each division.
UHC typically responds within 30 days for standard appeals and 72 hours for expedited. Filing quickly with complete documentation is the best way to keep the timeline short — which is what Muni's fast drafting makes practical.
You can file a second-level appeal (external review) through your state's independent review organization. Muni can generate the external review appeal as well, structured around the independent reviewer's criteria rather than UHC's internal process.
Yes. Muni can process multiple UHC appeals simultaneously. Many practices upload a batch of denials and generate every draft in one sitting instead of losing an afternoon per letter.
