Maya Feldman

CLM-2026-9090, UnitedHealthcare, Chemotherapy Infusion, Addl Hour (96415)

RecoveredWith me Denied claims

Billed

$5,278

denied Jan 13

Denial risk

43%

good odds

Appeal window

closed

nothing left to file

Recovered

$5,278

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jan 13
Denied by UnitedHealthcare
Missing Information (16)
Jan 13
Heron scored it: 43% denial risk
3 factors found, appeal path chosen
Jan 13
Paid in full
The money is back
May 2

The denial

Missing Information, code 16

Patient: Maya Feldman, born 1991-12-08
Payer: UnitedHealthcare
Procedure: Chemotherapy Infusion, Addl Hour (96415)
Diagnosis: C34.90
Denied on: Jan 13, 2026
Assigned to: Heron

Appeal successful, payment posted

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 19 days.