Eleanor Hughes

CLM-2024-8598, BCBS, Knee Arthroscopy (29881)

Written offWith me Denied claims

Billed

$11,500

denied Apr 20

Denial risk

88%

a hard one, worth it

Appeal window

closed

nothing left to file

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Apr 20
Denied by BCBS
Timely Filing (29)
Apr 20
Heron scored it: 88% denial risk
3 factors found, appeal path chosen
Apr 20
Written off
Every route exhausted
Apr 25

The denial

Timely Filing, code 29

Patient: Eleanor Hughes, born 1992-05-14
Payer: BCBS
Procedure: Knee Arthroscopy (29881)
Diagnosis: M23.61
Denied on: Apr 20, 2026
Assigned to: Heron

Written off - no proof of timely submission

Heron says

BCBS timely filing window has expired, no proof of prior submission available. Without clearinghouse confirmation, appeal success rate is under 5%. Recommend writing off and implementing submission tracking protocols.

No appeal yet

I can draft one from this claim's history

View the claim form

This claim is settled, so there is nothing left to write.

What I sent

Proof of timely filing

Everything I know about Eleanor

across every queue

Everything for this patient

Open exposure

Recovered

1 denied claim1 prior auth0 underpayments0 backlog claims

AUTH-3216

22612 · Spinal Fusion L5-S1

29881 · Timely Filing

$11,500

Written off

Apr 20