Aiko Tanaka

CLM-2026-9103, UnitedHealthcare, Electrocardiogram, Complete (93000)

RecoveredWith me Denied claims

Billed

$1,218

denied Mar 24

Denial risk

65%

winnable with the right notes

Appeal window

closed

nothing left to file

Recovered

$1,218

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Mar 24
Denied by UnitedHealthcare
Medical Necessity (50)
Mar 24
Heron scored it: 65% denial risk
3 factors found, appeal path chosen
Mar 24
Paid in full
The money is back
May 22

The denial

Medical Necessity, code 50

Patient: Aiko Tanaka, born 1981-01-08
Payer: UnitedHealthcare
Procedure: Electrocardiogram, Complete (93000)
Diagnosis: R00.2
Denied on: Mar 24, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

UnitedHealthcare denies 51% of 93000 claims without documented conservative treatment. Clinical notes supporting medical necessity were not attached to the original submission. Attach treatment history and imaging before appealing, overturn rate rises sharply with documentation.