Heron

Ingrid Solberg

CLM-2026-9023, UnitedHealthcare, Cardiovascular Stress Test (93015)

In reviewWith you Denied claims
Billed
$3,432
denied Jul 4
Denial risk
45%
good odds
Appeal window
33d
closes Oct 2
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Posted from the 835 remittance
    Jul 4
  2. Denied by UnitedHealthcare
    Bundling/Coding Error (97)
    Jul 4
  3. Heron
    Heron scored it: 45% denial risk
    3 factors found, appeal path chosen
    Jul 4
  4. Appeal window closes
    33 days left to file
    Oct 2

The denial

Bundling/Coding Error, code 97

Patient
Ingrid Solberg, born 1970-02-06
Payer
UnitedHealthcare
Procedure
Cardiovascular Stress Test (93015)
Diagnosis
I25.10
Denied on
Jul 4, 2026
Assigned to
Heron
Heron says
UnitedHealthcare bundled this line into a primary procedure billed the same day. Modifier review recommended, most bundling denials resolve on corrected resubmission. Verify NCCI edit pairs before resubmitting to avoid a second rejection.

No appeal yet

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What I sent

  • Corrected claim

Everything I know about Ingrid

across every queue
Everything for this patient
Open exposure
$12,916
Recovered
$277
3 denied claims0 prior auths2 underpayments3 backlog claims
CLM-2026-5013
73630 · 3d outstanding
$2,343
Not submitted
Aug 27
CLM-2026-5019
93306 · 16d outstanding
$1,206
In follow up
Aug 14
CLM-2026-9082
93000 · Medical Necessity
$4,094
In appeal
Aug 4
CLM-2026-5022
93000 · 26d outstanding
$565
Partially paid
Aug 4
CLM-2026-9094
93015 · Medical Necessity
$1,054
In review
Jul 7
CLM-2026-9023viewing
93015 · Bundling/Coding Error
$3,432
In review
Jul 4
CLM-2026-7094
93306 · underpaid 24.4%
$222 short
Under review
Mar 6
CLM-2025-7051
93015 · underpaid 13.1%
$277 short
Recovered
Nov 9