Quentin Moreau

CLM-2026-9106, Aetna, Echocardiography, Complete (93306)

In appealWith the payer Denied claims

Billed

$3,334

denied Jul 24

Denial risk

56%

winnable with the right notes

Appeal window

53d

closes Oct 22

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jul 24
Denied by Aetna
Not Covered (96)
Jul 24
Heron scored it: 56% denial risk
3 factors found, appeal path chosen
Jul 24

The denial

Not Covered, code 96

Patient: Quentin Moreau, born 1975-05-24
Payer: Aetna
Procedure: Echocardiography, Complete (93306)
Diagnosis: I50.9
Denied on: Jul 24, 2026
Assigned to: Heron

Heron says

Service is excluded under the member's current Aetna benefit plan. Verify benefits as of the date of service, plan may have changed mid-year. If non-covered is confirmed, route to patient responsibility rather than appeal.

No appeal yet

I can draft one from this claim's history

Draft it View 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

Nothing sent yet.

Everything I know about Quentin

across every queue

Everything for this patient

Open exposure

$10,742

Recovered

$107

4 denied claims1 prior auth3 underpayments3 backlog claims

AUTH-4060

73721 · MRI Lower Extremity Joint

73721 · 67d outstanding

70553 · underpaid 28.9%

93306 · Bundling/Coding Error

71046 · 113d outstanding

97530 · Bundling/Coding Error

72110 · 176d outstanding

97140 · Bundling/Coding Error

73721 · underpaid 29.3%

93306 · underpaid 8.8%

$70 short

Written off

Sep 27