Heron

Rhea Chaudhary

CLM-2024-8672, UnitedHealthcare, Brain MRI with Contrast (70553)

DeniedWith me Denied claims
Billed
$5,400
denied Mar 28
Denial risk
82%
a hard one, worth it
Appeal window
lapsed
closes Apr 28
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Imported from a CSV export
    Mar 28
  2. Denied by UnitedHealthcare
    Timely Filing (29)
    Mar 28
  3. Heron
    Heron scored it: 82% denial risk
    3 factors found, appeal path chosen
    Mar 28
  4. Appeal window lapsed
    124 days ago
    Apr 28

The denial

Timely Filing, code 29

Patient
Rhea Chaudhary, born 1993-08-08
Payer
UnitedHealthcare
Procedure
Brain MRI with Contrast (70553)
Diagnosis
G43.909
Denied on
Mar 28, 2026
Assigned to
Heron
Heron says
UHC timely filing limit is 90 days, check original submission date. If clearinghouse records show timely submission, include proof with appeal. Without proof of timely filing, overturn rate is under 10%.

No appeal yet

I can draft one from this claim's history

Draft itView the claim form

Open Intelligence, pick this claim, and I write the letter from the denial, the payer's rules and the clinical guideline. You sign it here.

What I sent

  • Proof of timely filing

Everything I know about Rhea

across every queue
Everything for this patient
Open exposure
$5,400
Recovered
$0
1 denied claim1 prior auth0 underpayments0 backlog claims
AUTH-3251
29881 · Knee Arthroscopy
72% odds
Pending
Apr 29
CLM-2024-8672viewing
70553 · Timely Filing
$5,400
Denied
Mar 28