Desmond Achebe

CLM-2026-9114, UnitedHealthcare, MRI Brain w/ and w/o Contrast (70553)

RecoveredWith me Denied claims

Billed

$2,470

denied Mar 2

Denial risk

46%

good odds

Appeal window

closed

nothing left to file

Recovered

$2,470

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Mar 2
Denied by UnitedHealthcare
Missing Information (16)
Mar 2
Heron scored it: 46% denial risk
3 factors found, appeal path chosen
Mar 2
Paid in full
The money is back
Jun 17

The denial

Missing Information, code 16

Patient: Desmond Achebe, born 1993-04-13
Payer: UnitedHealthcare
Procedure: MRI Brain w/ and w/o Contrast (70553)
Diagnosis: G43.909
Denied on: Mar 2, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

Claim rejected for incomplete data, most often a missing referring provider NPI or member ID mismatch. Member ID on file (INS897079) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 24 days.