PF-10521
UnitedHealthcare · Dr. Marcus Reed
Potential Underpayment
- Claim ID
- PF-10521
- Provider
- Dr. Marcus Reed
- Payer
- UnitedHealthcare
- Date of service
- 2026-08-13
- 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 confidenceRecommended Action
Include this claim in the UnitedHealthcare 90837 reimbursement recovery case.