Simone Laurent

CLM-2026-9157, UnitedHealthcare, MRI Lower Extremity Joint (73721)

In appealWith the payer Denied claims

Billed

$3,426

denied Jun 2

Denial risk

66%

winnable with the right notes

Appeal window

closes Aug 31

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jun 2
Denied by UnitedHealthcare
Medical Necessity (50)
Jun 2
Heron scored it: 66% denial risk
3 factors found, appeal path chosen
Jun 2

The denial

Medical Necessity, code 50

Patient: Simone Laurent, born 1966-12-04
Payer: UnitedHealthcare
Procedure: MRI Lower Extremity Joint (73721)
Diagnosis: M23.61
Denied on: Jun 2, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 45% 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.