Maya Feldman

CLM-2026-9146, UnitedHealthcare, MRI Brain w/ and w/o Contrast (70553)

In appealWith the payer Denied claims

Billed

$2,665

denied Jul 6

Denial risk

33%

good odds

Appeal window

35d

closes Oct 4

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jul 6
Denied by UnitedHealthcare
Missing Information (16)
Jul 6
Heron scored it: 33% denial risk
3 factors found, appeal path chosen
Jul 6

The denial

Missing Information, code 16

Patient: Maya Feldman, born 1991-12-08
Payer: UnitedHealthcare
Procedure: MRI Brain w/ and w/o Contrast (70553)
Diagnosis: G43.909
Denied on: Jul 6, 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 (INS104014) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 22 days.