Hannah Kowalczyk

CLM-2025-9130, Medicare, Echocardiography, Complete (93306)

RecoveredWith me Denied claims

Billed

$4,355

denied Dec 31

Denial risk

71%

winnable with the right notes

Appeal window

closed

nothing left to file

Recovered

$4,355

the money is back

What I did

and what comes next

Claim reached Heron
Entered by hand
Dec 31
Denied by Medicare
Medical Necessity (50)
Dec 31
Heron scored it: 71% denial risk
3 factors found, appeal path chosen
Dec 31
Paid in full
The money is back
Apr 9

The denial

Medical Necessity, code 50

Patient: Hannah Kowalczyk, born 1955-05-10
Payer: Medicare
Procedure: Echocardiography, Complete (93306)
Diagnosis: I50.9
Denied on: Dec 31, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

Medicare denies 55% of 93306 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.