Oscar Lindqvist

CLM-2026-9143, UnitedHealthcare, Therapeutic Exercise, 15 min (97110)

RecoveredWith me Denied claims

Billed

$1,284

denied Feb 14

Denial risk

51%

good odds

Appeal window

closed

nothing left to file

Recovered

$1,284

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Feb 14
Denied by UnitedHealthcare
Bundling/Coding Error (97)
Feb 14
Heron scored it: 51% denial risk
3 factors found, appeal path chosen
Feb 14
Paid in full
The money is back
Apr 15

The denial

Bundling/Coding Error, code 97

Patient: Oscar Lindqvist, born 2003-06-06
Payer: UnitedHealthcare
Procedure: Therapeutic Exercise, 15 min (97110)
Diagnosis: M25.561
Denied on: Feb 14, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

UnitedHealthcare bundled this line into a primary procedure billed the same day. Modifier review recommended, most bundling denials resolve on corrected resubmission. Verify NCCI edit pairs before resubmitting to avoid a second rejection.

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

Corrected claim

Everything I know about Oscar

across every queue

Everything for this patient

Open exposure

$10,588

Recovered

$2,341

3 denied claims0 prior auths2 underpayments6 backlog claims

CLM-2026-5108

97140 · 3d outstanding

97530 · 3d outstanding

97530 · 4d outstanding

97140 · 4d outstanding

97530 · 8d outstanding

97110 · underpaid 32.4%

97140 · Medical Necessity

97140 · Timely Filing

97530 · 142d outstanding

97110 · Bundling/Coding Error

97140 · underpaid 16%

$97 short

Written off

Dec 3