Heron

Oscar Lindqvist

CLM-2026-9042, UnitedHealthcare, Manual Therapy, 15 min (97140)

In appealWith the payer Denied claims
Billed
$1,146
denied Apr 21
Denial risk
97%
a hard one, worth it
Appeal window
lapsed
closes Jul 20
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Posted from the 835 remittance
    Apr 21
  2. Denied by UnitedHealthcare
    Timely Filing (29)
    Apr 21
  3. Heron
    Heron scored it: 97% denial risk
    3 factors found, appeal path chosen
    Apr 21

The denial

Timely Filing, code 29

Patient
Oscar Lindqvist, born 2003-06-06
Payer
UnitedHealthcare
Procedure
Manual Therapy, 15 min (97140)
Diagnosis
M54.2
Denied on
Apr 21, 2026
Assigned to
Heron
Heron says
High recovery risk (97), prioritize this claim in the appeal queue. Timely filing window has lapsed for UnitedHealthcare, 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

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 Oscar

across every queue