Simone Laurent

CLM-2026-9163, UnitedHealthcare, MRI Brain w/ and w/o Contrast (70553)

In appealWith the payer Denied claims

Billed

$2,806

denied Jun 5

Denial risk

74%

winnable with the right notes

Appeal window

closes Sep 3

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jun 5
Denied by UnitedHealthcare
Medical Necessity (50)
Jun 5
Heron scored it: 74% denial risk
3 factors found, appeal path chosen
Jun 5

The denial

Medical Necessity, code 50

Patient: Simone Laurent, born 1966-12-04
Payer: UnitedHealthcare
Procedure: MRI Brain w/ and w/o Contrast (70553)
Diagnosis: G43.909
Denied on: Jun 5, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 64% of 70553 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.