Gwen Llewellyn

CLM-2024-8750, Cigna, Cardiac Stress Test (93015)

In reviewWith you Denied claims

Billed

$3,800

denied Mar 25

Denial risk

28%

good odds

Appeal window

lapsed

closes Apr 25

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Mar 25
Denied by Cigna
Medical Necessity (50)
Mar 25
Heron scored it: 28% denial risk
3 factors found, appeal path chosen
Mar 25
Appeal window lapsed
127 days ago
Apr 25

The denial

Medical Necessity, code 50

Patient: Gwen Llewellyn, born 1979-04-17
Payer: Cigna
Procedure: Cardiac Stress Test (93015)
Diagnosis: I25.10
Denied on: Mar 25, 2026
Assigned to: Heron

Heron says

Cigna approves 89% of cardiac stress tests with I25.10 ICD-10 code. Documentation appears complete based on prior approvals at this facility. Standard resubmission recommended, strong approval probability.

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What I sent

Clinical notes
Operative report

Everything I know about Gwen

across every queue

Everything for this patient

Open exposure

$3,800

Recovered

1 denied claim1 prior auth0 underpayments0 backlog claims

93015 · Medical Necessity

$3,800

In review

Mar 25