Marcus Oyelaran

CLM-2026-9155, UnitedHealthcare, MRI Lower Extremity Joint (73721)

DeniedWith me Denied claims

Billed

$4,204

denied Aug 23

Denial risk

56%

winnable with the right notes

Appeal window

83d

closes Nov 21

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Aug 23
Denied by UnitedHealthcare
Medical Necessity (50)
Aug 23
Heron scored it: 56% denial risk
3 factors found, appeal path chosen
Aug 23
Appeal window closes
83 days left to file
Nov 21

The denial

Medical Necessity, code 50

Patient: Marcus Oyelaran, born 1986-09-01
Payer: UnitedHealthcare
Procedure: MRI Lower Extremity Joint (73721)
Diagnosis: M23.61
Denied on: Aug 23, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 51% of 73721 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.