Heron

Jonah Weiss

CLM-2026-9089, UnitedHealthcare, Therapeutic Exercise, 15 min (97110)

DeniedWith me Denied claims
Billed
$1,663
denied Aug 8
Denial risk
87%
a hard one, worth it
Appeal window
68d
closes Nov 6
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Entered by hand
    Aug 8
  2. Denied by UnitedHealthcare
    Timely Filing (29)
    Aug 8
  3. Heron
    Heron scored it: 87% denial risk
    3 factors found, appeal path chosen
    Aug 8
  4. Appeal window closes
    68 days left to file
    Nov 6

The denial

Timely Filing, code 29

Patient
Jonah Weiss, born 1991-06-25
Payer
UnitedHealthcare
Procedure
Therapeutic Exercise, 15 min (97110)
Diagnosis
M25.561
Denied on
Aug 8, 2026
Assigned to
Heron
Heron says
High recovery risk (87), 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

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 Jonah

across every queue
Everything for this patient
Open exposure
$8,086
Recovered
$2,354
4 denied claims0 prior auths1 underpayment1 backlog claim
CLM-2026-5095
97110 · 13d outstanding
$2,552
Pending payer
Aug 17
CLM-2026-9089viewing
97110 · Timely Filing
$1,663
Denied
Aug 8
CLM-2026-9081
97530 · Medical Necessity
$2,805
In appeal
Aug 4
CLM-2026-9060
97530 · Pre-Auth Missing
$1,066
In review
Aug 1
CLM-2025-9139
97110 · Bundling/Coding Error
$1,840
Recovered
Nov 27
CLM-2025-7060
97530 · underpaid 33.9%
$514 short
Recovered
Sep 28