Heron

Maya Feldman

CLM-2026-9050, UnitedHealthcare, Chest X-Ray, 2 Views (71046)

DeniedWith me Denied claims
Billed
$2,194
denied Aug 2
Denial risk
37%
good odds
Appeal window
62d
closes Oct 31
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Posted from the 835 remittance
    Aug 2
  2. Denied by UnitedHealthcare
    Missing Information (16)
    Aug 2
  3. Heron
    Heron scored it: 37% denial risk
    3 factors found, appeal path chosen
    Aug 2
  4. Appeal window closes
    62 days left to file
    Oct 31

The denial

Missing Information, code 16

Patient
Maya Feldman, born 1991-12-08
Payer
UnitedHealthcare
Procedure
Chest X-Ray, 2 Views (71046)
Diagnosis
R05.9
Denied on
Aug 2, 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 26 days.

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

  • Referral on file

Everything I know about Maya

across every queue