Beatriz Almeida

CLM-2026-9134, BCBS, Therapeutic Activities, 15 min (97530)

In reviewWith you Denied claims

Billed

$274

denied Jul 3

Denial risk

34%

good odds

Appeal window

32d

closes Oct 1

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jul 3
Denied by BCBS
Missing Information (16)
Jul 3
Heron scored it: 34% denial risk
3 factors found, appeal path chosen
Jul 3
Appeal window closes
32 days left to file
Oct 1

The denial

Missing Information, code 16

Patient: Beatriz Almeida, born 1984-10-12
Payer: BCBS
Procedure: Therapeutic Activities, 15 min (97530)
Diagnosis: M62.81
Denied on: Jul 3, 2026
Assigned to: Heron

Heron says

Claim rejected for incomplete data, most often a missing referring provider NPI or member ID mismatch. Member ID on file (INS354079) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 22 days.