Heron

Mateo Fuentes

CLM-2026-9030, Medicare, Chest X-Ray, 2 Views (71046)

DeniedWith me Denied claims
Billed
$716
denied Jul 15
Denial risk
83%
a hard one, worth it
Appeal window
44d
closes Oct 13
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Posted from the 835 remittance
    Jul 15
  2. Denied by Medicare
    Timely Filing (29)
    Jul 15
  3. Heron
    Heron scored it: 83% denial risk
    3 factors found, appeal path chosen
    Jul 15
  4. Appeal window closes
    44 days left to file
    Oct 13

The denial

Timely Filing, code 29

Patient
Mateo Fuentes, born 1951-06-19
Payer
Medicare
Procedure
Chest X-Ray, 2 Views (71046)
Diagnosis
R05.9
Denied on
Jul 15, 2026
Assigned to
Heron
Heron says
High recovery risk (83), prioritize this claim in the appeal queue. Timely filing window has lapsed for Medicare, 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

Draft itView the claim form

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

  • Proof of timely filing

Everything I know about Mateo

across every queue
Everything for this patient
Open exposure
$6,988
Recovered
$0
2 denied claims1 prior auth2 underpayments2 backlog claims
AUTH-4054
70553 · MRI Brain w/ and w/o Contrast
46% odds
Pending
Aug 26
CLM-2026-5046
70553 · 10d outstanding
$2,379
In follow up
Aug 20
CLM-2026-7069
93000 · underpaid 7.9%
$61 short
Under review
Aug 18
CLM-2026-5052
93000 · 27d outstanding
$2,693
Awaiting info
Aug 3
CLM-2026-9084
72110 · Medical Necessity
$840
In review
Jul 29
CLM-2026-9030viewing
71046 · Timely Filing
$716
Denied
Jul 15
CLM-2026-7097
73721 · underpaid 23.5%
$299 short
Disputed
Jun 13