Clara Oduya

CLM-2024-8804, Cigna, Coronary Angioplasty (92920)

In appealWith the payer Denied claims

Billed

$15,800

denied Apr 10

Denial risk

55%

winnable with the right notes

Appeal window

lapsed

closes May 10

Appeals

draft

What I did

and what comes next

Claim reached Heron
Entered by hand
Apr 10
Denied by Cigna
Duplicate Claim (18)
Apr 10
Heron scored it: 55% denial risk
3 factors found, appeal path chosen
Apr 10

The denial

Duplicate Claim, code 18

Patient: Clara Oduya, born 1982-06-19
Payer: Cigna
Procedure: Coronary Angioplasty (92920)
Diagnosis: I25.10
Denied on: Apr 10, 2026
Assigned to: Heron

Heron says

Cigna system flagged as duplicate due to same-day service date on related procedure. Review claim submission dates and service line detail for overlapping entries. Peer-to-peer review may be required to resolve.

The appeal

Filed recently, draft

Draft it View the claim form

Filed. I follow up with Cigna every 14 days until they answer, and the letter will sit here once it is on file.

What I sent

Corrected claimApr 12

Everything I know about Clara

across every queue

Everything for this patient

Open exposure

$15,800

Recovered

1 denied claim0 prior auths0 underpayments0 backlog claims

CLM-2024-8804viewing

92920 · Duplicate Claim

$15,800

In appeal

Apr 10