Heron

Henrik Lund

CLM-2026-9156, UnitedHealthcare, Echocardiography, Complete (93306)

In appealWith the payer Denied claims
Billed
$1,374
denied Apr 16
Denial risk
46%
good odds
Appeal window
lapsed
closes Jul 15
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Entered by hand
    Apr 16
  2. Denied by UnitedHealthcare
    Missing Information (16)
    Apr 16
  3. Heron
    Heron scored it: 46% denial risk
    3 factors found, appeal path chosen
    Apr 16

The denial

Missing Information, code 16

Patient
Henrik Lund, born 2003-11-28
Payer
UnitedHealthcare
Procedure
Echocardiography, Complete (93306)
Diagnosis
I50.9
Denied on
Apr 16, 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 (INS598863) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 22 days.

No appeal yet

I can draft one from this claim's history

Open Intelligence, pick this claim, and I write the letter from the denial, the payer's rules and the clinical guideline. You sign it here.

What I sent

  • Referral on file

Everything I know about Henrik

across every queue