Oscar Lindqvist

CLM-2026-9109, UnitedHealthcare, Manual Therapy, 15 min (97140)

RecoveredWith me Denied claims

Billed

$1,057

denied Jun 20

Denial risk

57%

winnable with the right notes

Appeal window

closed

nothing left to file

Recovered

$1,057

the money is back

What I did

and what comes next

Claim reached Heron
Entered by hand
Jun 20
Denied by UnitedHealthcare
Medical Necessity (50)
Jun 20
Heron scored it: 57% denial risk
3 factors found, appeal path chosen
Jun 20
Paid in full
The money is back
Aug 7

The denial

Medical Necessity, code 50

Patient: Oscar Lindqvist, born 2003-06-06
Payer: UnitedHealthcare
Procedure: Manual Therapy, 15 min (97140)
Diagnosis: M54.2
Denied on: Jun 20, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

UnitedHealthcare denies 48% of 97140 claims without documented conservative treatment. Clinical notes supporting medical necessity were not attached to the original submission. Attach treatment history and imaging before appealing, overturn rate rises sharply with documentation.