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Claims

PF-10510

UnitedHealthcare ยท Dr. Olivia Patel

Potential Underpayment
Claim ID
PF-10510
Provider
Dr. Olivia Patel
Payer
UnitedHealthcare
Date of service
2026-08-02
CPT code
90837
Service lines
7
Billed amount
$1,400.00
Contracted / expected amount
$994.00
Allowed amount
$833.00
Paid amount
$832.00
Adjustment amount
$1.00
Difference
$162.00

PayerFight Analysis

Potential Underpayment Detected

Based on the reimbursement terms currently on file, PayerFight expected each service line to reimburse at $142.00. The payer allowed $119.00, creating a potential $23.00 discrepancy per line. This claim contains 7 lines: $161.00 in rate differences plus a $1.00 payment adjustment, for a total potential $162.00 discrepancy.

High confidence

Recommended Action

Include this claim in the UnitedHealthcare 90837 reimbursement recovery case.