Heron

Every paid claim, checked against your contract.

45 short payments open, $19,374 recoverable. I check every remit against the contracted allowable and go after what came back short.

Open variance
$19,374
45 claims paid below contract
Recovered
$24,167
42 claims reprocessed at contract
Average shortfall
20.8%
across 102 short payments
Open disputes
14
waiting on payers

Variance worklist

claims paid below contract
102 records
Jonah Weiss
96413, Chemotherapy Infusion, 1st Hour
-$2,485
25.9% short
CLM-2025-7041Cignapaid Nov 4
Recovered$7,119 of $9,604
Sunita Bhatt
96417, Chemotherapy, Additional Sequential
-$2,460
31.3% short
CLM-2026-7036UnitedHealthcarepaid Apr 12
Disputed$5,405 of $7,865
Maya Feldman
96415, Chemotherapy Infusion, Addl Hour
-$2,094
23.8% short
CLM-2026-7045Humanapaid Apr 30
Disputed$6,685 of $8,779
Caleb Nguyen
96413, Chemotherapy Infusion, 1st Hour
-$1,616
15.5% short
CLM-2025-7062Medicarepaid Nov 21
Recovered$8,816 of $10,432
Yara Khalil
96415, Chemotherapy Infusion, Addl Hour
-$1,449
10.6% short
CLM-2025-7047BCBSpaid Dec 23
Recovered$12,286 of $13,735
Yara Khalil
73721, MRI Lower Extremity Joint
-$1,369
29.1% short
CLM-2025-7083BCBSpaid Sep 20
Recovered$3,337 of $4,706
Rosa Delgado
73721, MRI Lower Extremity Joint
-$1,344
33.4% short
CLM-2026-7086Cignapaid Aug 23
Detected$2,678 of $4,022
Sunita Bhatt
96415, Chemotherapy Infusion, Addl Hour
-$1,286
12.4% short
CLM-2025-7071UnitedHealthcarepaid Sep 30
Recovered$9,057 of $10,343
Rosa Delgado
73721, MRI Lower Extremity Joint
-$1,239
26.2% short
CLM-2026-7066Cignapaid Jan 25
Written off$3,494 of $4,733
Uma Krishnan
72148, MRI Lumbar Spine w/o Contrast
-$1,129
22.1% short
CLM-2025-7095BCBSpaid Nov 30
Recovered$3,984 of $5,113
Marcus Oyelaran
72148, MRI Lumbar Spine w/o Contrast
-$1,093
33.5% short
CLM-2025-7046BCBSpaid Nov 14
Recovered$2,172 of $3,265
Marcus Oyelaran
73721, MRI Lower Extremity Joint
-$960
29.8% short
CLM-2025-7089UnitedHealthcarepaid Dec 4
Recovered$2,260 of $3,220
Jonah Weiss
96417, Chemotherapy, Additional Sequential
-$927
11.1% short
CLM-2026-7079Cignapaid Aug 9
Under review$7,414 of $8,341
Keiko Mori
96413, Chemotherapy Infusion, 1st Hour
-$886
25.6% short
CLM-2026-7029Medicaidpaid Jul 19
Under review$2,582 of $3,468
Simone Laurent
73721, MRI Lower Extremity Joint
-$884
27.7% short
CLM-2026-7100UnitedHealthcarepaid Aug 2
Detected$2,307 of $3,191
Ximena Vargas
96417, Chemotherapy, Additional Sequential
-$870
28.8% short
CLM-2025-7067Medicarepaid Dec 9
Recovered$2,151 of $3,021
Ingrid Solberg
96417, Chemotherapy, Additional Sequential
-$803
14.7% short
CLM-2026-7063UnitedHealthcarepaid Feb 26
Recovered$4,657 of $5,460
Uma Krishnan
73721, MRI Lower Extremity Joint
-$772
19.7% short
CLM-2026-7003BCBSpaid Feb 11
Recovered$3,140 of $3,912
Desmond Achebe
70553, MRI Brain w/ and w/o Contrast
-$767
29.1% short
CLM-2026-7024UnitedHealthcarepaid May 7
Under review$1,866 of $2,633
Grace Mbeki
96417, Chemotherapy, Additional Sequential
-$749
15% short
CLM-2026-7082Aetnapaid Jul 16
Detected$4,248 of $4,997
Marcus Oyelaran
73721, MRI Lower Extremity Joint
-$731
28% short
CLM-2026-7005BCBSpaid Apr 4
Recovered$1,875 of $2,606
Ingrid Solberg
96417, Chemotherapy, Additional Sequential
-$711
8.7% short
CLM-2025-7065UnitedHealthcarepaid Nov 22
Recovered$7,474 of $8,185
Aiko Tanaka
72148, MRI Lumbar Spine w/o Contrast
-$703
30.2% short
CLM-2026-7027UnitedHealthcarepaid Apr 9
Under review$1,627 of $2,330
Noor Rahimi
96415, Chemotherapy Infusion, Addl Hour
-$641
22.7% short
CLM-2026-7042Medicaidpaid May 27
Recovered$2,176 of $2,817
Leila Haddad
96413, Chemotherapy Infusion, 1st Hour
-$626
24.4% short
CLM-2025-7075BCBSpaid Sep 17
Recovered$1,943 of $2,569
Ingrid Solberg
93306, Echocardiography, Complete
-$614
26.6% short
CLM-2026-7085Aetnapaid Jul 18
Disputed$1,694 of $2,308
Teodora Petrova
72148, MRI Lumbar Spine w/o Contrast
-$604
21.9% short
CLM-2026-7001BCBSpaid Apr 1
Under review$2,150 of $2,754
Isabel Carvalho
96417, Chemotherapy, Additional Sequential
-$582
9.9% short
CLM-2026-7037UnitedHealthcarepaid Aug 23
Under review$5,311 of $5,893
Caleb Nguyen
96415, Chemotherapy Infusion, Addl Hour
-$579
27% short
CLM-2025-7035Medicarepaid Sep 30
Recovered$1,562 of $2,141
Ravi Menon
72148, MRI Lumbar Spine w/o Contrast
-$570
17% short
CLM-2026-7043Aetnapaid Jul 12
Detected$2,780 of $3,350
Desmond Achebe
93000, Electrocardiogram, Complete
-$553
27.3% short
CLM-2026-7087Medicarepaid Jan 27
Recovered$1,469 of $2,022
Elliot Marchetti
70553, MRI Brain w/ and w/o Contrast
-$519
33.1% short
CLM-2026-7039Aetnapaid Jun 27
Disputed$1,050 of $1,569
Jonah Weiss
97530, Therapeutic Activities, 15 min
-$514
33.9% short
CLM-2025-7060UnitedHealthcarepaid Sep 28
Recovered$1,002 of $1,516
Ingrid Solberg
93000, Electrocardiogram, Complete
-$499
20.4% short
CLM-2026-7050Aetnapaid Aug 21
Disputed$1,943 of $2,442
Aiko Tanaka
70553, MRI Brain w/ and w/o Contrast
-$486
15.8% short
CLM-2026-7000UnitedHealthcarepaid Apr 20
Recovered$2,586 of $3,072
Sunita Bhatt
93000, Electrocardiogram, Complete
-$471
29.7% short
CLM-2026-7092UnitedHealthcarepaid Aug 3
Detected$1,111 of $1,582
Elliot Marchetti
70553, MRI Brain w/ and w/o Contrast
-$468
12.2% short
CLM-2026-7088Aetnapaid Mar 1
Written off$3,376 of $3,844
Ravi Menon
72148, MRI Lumbar Spine w/o Contrast
-$461
14.6% short
CLM-2026-7008Aetnapaid Jan 5
Recovered$2,686 of $3,147
Marcus Oyelaran
93000, Electrocardiogram, Complete
-$456
18.5% short
CLM-2026-7090Aetnapaid Aug 20
Detected$2,008 of $2,464
Ingrid Solberg
70553, MRI Brain w/ and w/o Contrast
-$448
23.7% short
CLM-2026-7022UnitedHealthcarepaid Jan 4
Recovered$1,440 of $1,888
Owen Gallagher
96413, Chemotherapy Infusion, 1st Hour
-$434
7% short
CLM-2026-7070Medicarepaid Feb 18
Recovered$5,757 of $6,191
Leila Haddad
93000, Electrocardiogram, Complete
-$433
23.1% short
CLM-2025-7084BCBSpaid Dec 10
Recovered$1,439 of $1,872
Beatriz Almeida
96413, Chemotherapy Infusion, 1st Hour
-$418
30.2% short
CLM-2026-7040BCBSpaid Jun 13
Recovered$968 of $1,386
Rosa Delgado
72148, MRI Lumbar Spine w/o Contrast
-$417
12.6% short
CLM-2025-7059Cignapaid Nov 15
Recovered$2,882 of $3,299
Teodora Petrova
97110, Therapeutic Exercise, 15 min
-$377
32.1% short
CLM-2026-7030BCBSpaid Jun 30
Detected$800 of $1,177
Aiko Tanaka
72148, MRI Lumbar Spine w/o Contrast
-$370
24.2% short
CLM-2026-7011UnitedHealthcarepaid Jun 10
Recovered$1,159 of $1,529
Keiko Mori
72110, X-Ray Lumbar Spine, 4+ Views
-$368
29.1% short
CLM-2025-7025Medicaidpaid Nov 28
Written off$897 of $1,265
Mateo Fuentes
71046, Chest X-Ray, 2 Views
-$362
31.2% short
CLM-2025-7076Cignapaid Nov 29
Written off$801 of $1,163
Rosa Delgado
93015, Cardiovascular Stress Test
-$359
14.3% short
CLM-2026-7098Cignapaid May 24
Recovered$2,150 of $2,509
Teodora Petrova
93000, Electrocardiogram, Complete
-$330
18.3% short
CLM-2025-7006BCBSpaid Nov 15
Recovered$1,474 of $1,804
Maya Feldman
73721, MRI Lower Extremity Joint
-$312
14.1% short
CLM-2026-7013UnitedHealthcarepaid Jun 25
Under review$1,901 of $2,213
Mateo Fuentes
73721, MRI Lower Extremity Joint
-$299
23.5% short
CLM-2026-7097Medicarepaid Jun 13
Disputed$972 of $1,271
Fatima Zahra
72110, X-Ray Lumbar Spine, 4+ Views
-$296
30.6% short
CLM-2026-7053BCBSpaid May 25
Under review$672 of $968
Maya Feldman
96417, Chemotherapy, Additional Sequential
-$287
10.4% short
CLM-2025-7004UnitedHealthcarepaid Nov 24
Written off$2,488 of $2,775
Aiko Tanaka
71046, Chest X-Ray, 2 Views
-$280
30% short
CLM-2026-7093UnitedHealthcarepaid Jul 12
Under review$653 of $933
Ingrid Solberg
93015, Cardiovascular Stress Test
-$277
13.1% short
CLM-2025-7051UnitedHealthcarepaid Nov 9
Recovered$1,840 of $2,117
Noor Rahimi
97530, Therapeutic Activities, 15 min
-$277
33.4% short
CLM-2026-7074Medicaidpaid Jun 5
Disputed$554 of $831
Marcus Oyelaran
93306, Echocardiography, Complete
-$272
24.7% short
CLM-2026-7010BCBSpaid Mar 18
Under review$831 of $1,103
Leila Haddad
93015, Cardiovascular Stress Test
-$268
17% short
CLM-2025-7073BCBSpaid Oct 1
Written off$1,305 of $1,573
Mateo Fuentes
72148, MRI Lumbar Spine w/o Contrast
-$240
12.8% short
CLM-2026-7096Cignapaid Jan 30
Recovered$1,628 of $1,868
Ingrid Solberg
93306, Echocardiography, Complete
-$222
24.4% short
CLM-2026-7094UnitedHealthcarepaid Mar 6
Under review$690 of $912
Nia Okafor
96415, Chemotherapy Infusion, Addl Hour
-$221
7.7% short
CLM-2026-7034Aetnapaid Mar 18
Recovered$2,640 of $2,861
Oscar Lindqvist
97110, Therapeutic Exercise, 15 min
-$212
32.4% short
CLM-2026-7044UnitedHealthcarepaid Jun 27
Under review$442 of $654
Desmond Achebe
97530, Therapeutic Activities, 15 min
-$190
30.2% short
CLM-2026-7033UnitedHealthcarepaid Mar 22
Recovered$439 of $629
Desmond Achebe
93306, Echocardiography, Complete
-$189
31.4% short
CLM-2026-7052Medicarepaid Aug 8
Disputed$412 of $601
Ingrid Solberg
73721, MRI Lower Extremity Joint
-$174
28.5% short
CLM-2026-7081UnitedHealthcarepaid Apr 30
Under review$436 of $610
Maya Feldman
73630, X-Ray Foot, Complete
-$166
21% short
CLM-2025-7072UnitedHealthcarepaid Dec 9
Written off$624 of $790
Priya Raman
93000, Electrocardiogram, Complete
-$165
13.9% short
CLM-2026-7014Medicarepaid Aug 12
Disputed$1,015 of $1,180
Ravi Menon
72148, MRI Lumbar Spine w/o Contrast
-$160
10.6% short
CLM-2026-7049Aetnapaid Feb 11
Written off$1,350 of $1,510
Isabel Carvalho
73630, X-Ray Foot, Complete
-$159
27.5% short
CLM-2025-7032UnitedHealthcarepaid Nov 9
Recovered$420 of $579
Desmond Achebe
97110, Therapeutic Exercise, 15 min
-$159
27.9% short
CLM-2025-7077Medicarepaid Nov 1
Recovered$411 of $570
Maya Feldman
93015, Cardiovascular Stress Test
-$158
23.4% short
CLM-2026-7056Humanapaid Aug 1
Under review$516 of $674
Maya Feldman
73630, X-Ray Foot, Complete
-$151
22.1% short
CLM-2025-7016UnitedHealthcarepaid Sep 20
Written off$534 of $685
Quentin Moreau
73721, MRI Lower Extremity Joint
-$137
29.3% short
CLM-2025-7031Aetnapaid Nov 20
Written off$329 of $466
Viktor Novak
97140, Manual Therapy, 15 min
-$115
24.6% short
CLM-2026-7018Aetnapaid May 26
Recovered$354 of $469
Marcus Oyelaran
73630, X-Ray Foot, Complete
-$110
11.2% short
CLM-2026-7078Aetnapaid Aug 15
Detected$867 of $977
Quentin Moreau
70553, MRI Brain w/ and w/o Contrast
-$107
28.9% short
CLM-2026-7058Aetnapaid Jun 8
Recovered$263 of $370
Caleb Nguyen
73630, X-Ray Foot, Complete
-$100
30.5% short
CLM-2026-7026Medicarepaid Mar 23
Recovered$228 of $328
Oscar Lindqvist
97140, Manual Therapy, 15 min
-$97
16% short
CLM-2025-7054UnitedHealthcarepaid Dec 3
Written off$509 of $606
Beatriz Almeida
72110, X-Ray Lumbar Spine, 4+ Views
-$90
15.7% short
CLM-2026-7091BCBSpaid Mar 1
Written off$486 of $576
Noor Rahimi
97110, Therapeutic Exercise, 15 min
-$90
24.4% short
CLM-2026-7101Medicaidpaid Mar 24
Disputed$280 of $370
Marcus Oyelaran
72110, X-Ray Lumbar Spine, 4+ Views
-$87
6.1% short
CLM-2026-7020Aetnapaid Apr 18
Under review$1,336 of $1,423
Aiko Tanaka
71046, Chest X-Ray, 2 Views
-$85
24.5% short
CLM-2026-7057UnitedHealthcarepaid Jul 8
Detected$263 of $348
Desmond Achebe
97140, Manual Therapy, 15 min
-$84
8.7% short
CLM-2026-7012UnitedHealthcarepaid Apr 29
Recovered$882 of $966
Wren Castillo
73630, X-Ray Foot, Complete
-$80
21.7% short
CLM-2026-7064Cignapaid Mar 11
Disputed$289 of $369
Desmond Achebe
97530, Therapeutic Activities, 15 min
-$76
21.7% short
CLM-2026-7002Medicarepaid Aug 20
Disputed$275 of $351
Jonah Weiss
93306, Echocardiography, Complete
-$76
14.1% short
CLM-2025-7015Cignapaid Oct 3
Written off$462 of $538
Paloma Reyes
97530, Therapeutic Activities, 15 min
-$71
19.7% short
CLM-2026-7038Aetnapaid Jun 13
Under review$290 of $361
Quentin Moreau
93306, Echocardiography, Complete
-$70
8.8% short
CLM-2025-7009Aetnapaid Sep 27
Written off$723 of $793
Mateo Fuentes
73630, X-Ray Foot, Complete
-$70
10.7% short
CLM-2025-7023Cignapaid Nov 24
Recovered$586 of $656
Nia Okafor
93000, Electrocardiogram, Complete
-$68
15.7% short
CLM-2026-7017Aetnapaid Jul 27
Under review$364 of $432
Aiko Tanaka
73630, X-Ray Foot, Complete
-$68
20.9% short
CLM-2026-7099UnitedHealthcarepaid Jul 1
Detected$259 of $327
Desmond Achebe
97530, Therapeutic Activities, 15 min
-$64
8.5% short
CLM-2026-7007Medicarepaid Aug 26
Under review$685 of $749
Mateo Fuentes
93000, Electrocardiogram, Complete
-$61
7.9% short
CLM-2026-7069Medicarepaid Aug 18
Under review$715 of $776
Henrik Lund
72110, X-Ray Lumbar Spine, 4+ Views
-$57
25.4% short
CLM-2026-7055UnitedHealthcarepaid Mar 26
Under review$169 of $226
Leila Haddad
93306, Echocardiography, Complete
-$42
6.7% short
CLM-2025-7068BCBSpaid Nov 1
Recovered$591 of $633
Noor Rahimi
97140, Manual Therapy, 15 min
-$33
9% short
CLM-2025-7080Medicaidpaid Nov 17
Written off$329 of $362
Henrik Lund
73630, X-Ray Foot, Complete
-$32
12.8% short
CLM-2026-7019UnitedHealthcarepaid Apr 28
Disputed$220 of $252
Mateo Fuentes
73630, X-Ray Foot, Complete
-$32
22.6% short
CLM-2026-7048Cignapaid May 3
Disputed$109 of $141
Aiko Tanaka
93000, Electrocardiogram, Complete
-$32
10.6% short
CLM-2025-7061UnitedHealthcarepaid Nov 29
Recovered$268 of $300
Sunita Bhatt
93306, Echocardiography, Complete
-$31
8% short
CLM-2026-7021UnitedHealthcarepaid Jul 5
Under review$362 of $393
Aiko Tanaka
73630, X-Ray Foot, Complete
-$28
10.8% short
CLM-2025-7028UnitedHealthcarepaid Oct 10
Recovered$231 of $259