Marcus Oyelaran

CLM-2026-9002, BCBS, Therapeutic Activities, 15 min (97530)

RecoveredWith me Denied claims

Billed

$1,567

denied Jun 13

Denial risk

87%

a hard one, worth it

Appeal window

closed

nothing left to file

Recovered

$1,567

the money is back

What I did

and what comes next

Claim reached Heron
Entered by hand
Jun 13
Denied by BCBS
Timely Filing (29)
Jun 13
Heron scored it: 87% denial risk
3 factors found, appeal path chosen
Jun 13
Paid in full
The money is back
Jul 28

The denial

Timely Filing, code 29

Patient: Marcus Oyelaran, born 2000-07-22
Payer: BCBS
Procedure: Therapeutic Activities, 15 min (97530)
Diagnosis: M62.81
Denied on: Jun 13, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

High recovery risk (87), prioritize this claim in the appeal queue. Timely filing window has lapsed for BCBS, appeal requires proof of original submission. Check clearinghouse acknowledgment records for the original 837 transmission date.

No appeal yet

I can draft one from this claim's history

View the claim form

This claim is settled, so there is nothing left to write.

What I sent

Proof of timely filing

Everything I know about Marcus

across every queue

Everything for this patient

Open exposure

$26,790

Recovered

$3,391

2 denied claims4 prior auths3 underpayments3 backlog claims

AUTH-4065

96413 · Chemotherapy Infusion, 1st Hour

96415 · Chemotherapy Infusion, Addl Hour

96413 · 3d outstanding

93306 · 3d outstanding

96415 · 9d outstanding

72148 · MRI Lumbar Spine w/o Contrast

73721 · MRI Lower Extremity Joint

97530 · Timely Filing

73721 · underpaid 28%

93306 · underpaid 24.7%

97110 · Coverage Terminated

72148 · underpaid 33.5%

$1,093 short

Recovered

Nov 14