Maya Feldman

CLM-2026-9038, UnitedHealthcare, Chest X-Ray, 2 Views (71046)

In appealWith the payer Denied claims

Billed

$1,952

denied May 4

Denial risk

72%

winnable with the right notes

Appeal window

lapsed

closes Aug 2

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
May 4
Denied by UnitedHealthcare
Medical Necessity (50)
May 4
Heron scored it: 72% denial risk
3 factors found, appeal path chosen
May 4

The denial

Medical Necessity, code 50

Patient: Maya Feldman, born 1991-12-08
Payer: UnitedHealthcare
Procedure: Chest X-Ray, 2 Views (71046)
Diagnosis: R05.9
Denied on: May 4, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 59% of 71046 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.