Heron

Farid Nasser

CLM-2024-8762, UnitedHealthcare, Hysterectomy (58150)

DeniedWith me Denied claims
Billed
$9,800
denied Mar 28
Denial risk
91%
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
    Posted from the 835 remittance
    Mar 28
  2. Denied by UnitedHealthcare
    Timely Filing (29)
    Mar 28
  3. Heron
    Heron scored it: 91% 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
Farid Nasser, born 1964-12-11
Payer
UnitedHealthcare
Procedure
Hysterectomy (58150)
Diagnosis
N80.0
Denied on
Mar 28, 2026
Assigned to
Heron
Heron says
UHC timely filing window has expired, appeal must include proof of timely submission. Check original submission timestamp in clearinghouse records. If proof of timely filing exists, success rate is 73%.

No appeal yet

I can draft one from this claim's history

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 Farid

across every queue
Everything for this patient
Open exposure
$9,800
Recovered
$0
1 denied claim1 prior auth0 underpayments0 backlog claims