Ingrid Solberg

CLM-2026-9094, UnitedHealthcare, Cardiovascular Stress Test (93015)

In reviewWith you Denied claims

Billed

$1,054

denied Jul 7

Denial risk

58%

winnable with the right notes

Appeal window

36d

closes Oct 5

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jul 7
Denied by UnitedHealthcare
Medical Necessity (50)
Jul 7
Heron scored it: 58% denial risk
3 factors found, appeal path chosen
Jul 7
Appeal window closes
36 days left to file
Oct 5

The denial

Medical Necessity, code 50

Patient: Ingrid Solberg, born 1970-02-06
Payer: UnitedHealthcare
Procedure: Cardiovascular Stress Test (93015)
Diagnosis: I25.10
Denied on: Jul 7, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 44% of 93015 claims without documented conservative treatment. Clinical notes supporting medical necessity were not attached to the original submission. Attach treatment history and imaging before appealing, overturn rate rises sharply with documentation.