Heron

Oscar Lindqvist

CLM-2026-9105, Aetna, Electrocardiogram, Complete (93000)

DeniedWith me Denied claims
Billed
$5,083
denied Jul 2
Denial risk
85%
a hard one, worth it
Appeal window
31d
closes Sep 30
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Posted from the 835 remittance
    Jul 2
  2. Denied by Aetna
    Timely Filing (29)
    Jul 2
  3. Heron
    Heron scored it: 85% denial risk
    3 factors found, appeal path chosen
    Jul 2
  4. Appeal window closes
    31 days left to file
    Sep 30

The denial

Timely Filing, code 29

Patient
Oscar Lindqvist, born 1995-12-13
Payer
Aetna
Procedure
Electrocardiogram, Complete (93000)
Diagnosis
R00.2
Denied on
Jul 2, 2026
Assigned to
Heron
Heron says
High recovery risk (85), prioritize this claim in the appeal queue. Timely filing window has lapsed for Aetna, appeal requires proof of original submission. Check clearinghouse acknowledgment records for the original 837 transmission date.

No appeal yet

I can draft one from this claim's history

Draft itView the claim form

Open Intelligence, pick this claim, and I write the letter from the denial, the payer's rules and the clinical guideline. You sign it here.

What I sent

  • Proof of timely filing

Everything I know about Oscar

across every queue
Everything for this patient
Open exposure
$18,482
Recovered
$0
3 denied claims1 prior auth0 underpayments4 backlog claims
CLM-2026-5105
93306 · 4d outstanding
$1,549
Pending payer
Aug 26
AUTH-4012
72148 · MRI Lumbar Spine w/o Contrast
46% odds
Pending
Aug 24
CLM-2026-5008
72148 · 15d outstanding
$3,452
Pending payer
Aug 15
CLM-2026-5059
73630 · 23d outstanding
$2,547
Awaiting info
Aug 7
CLM-2026-5094
93000 · 46d outstanding
$2,928
Awaiting info
Jul 15
CLM-2026-9105viewing
93000 · Timely Filing
$5,083
Denied
Jul 2
CLM-2026-9079
73630 · Pre-Auth Missing
$1,285
In review
May 4
CLM-2026-9166
93015 · Missing Information
$1,638
In appeal
May 1