Maya Feldman

CLM-2026-9045, UnitedHealthcare, MRI Lumbar Spine w/o Contrast (72148)

In appealWith the payer Denied claims

Billed

$2,338

denied Feb 24

Denial risk

45%

good odds

Appeal window

lapsed

closes May 25

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Feb 24
Denied by UnitedHealthcare
Missing Information (16)
Feb 24
Heron scored it: 45% denial risk
3 factors found, appeal path chosen
Feb 24

The denial

Missing Information, code 16

Patient: Maya Feldman, born 1991-12-08
Payer: UnitedHealthcare
Procedure: MRI Lumbar Spine w/o Contrast (72148)
Diagnosis: M51.16
Denied on: Feb 24, 2026
Assigned to: Heron

Heron says

Claim rejected for incomplete data, most often a missing referring provider NPI or member ID mismatch. Member ID on file (INS104014) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 17 days.