Yusuf Demir

CLM-2026-9133, Cigna, X-Ray Lumbar Spine, 4+ Views (72110)

In reviewWith you Denied claims

Billed

$2,083

denied Aug 20

Denial risk

59%

winnable with the right notes

Appeal window

80d

closes Nov 18

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Aug 20
Denied by Cigna
Medical Necessity (50)
Aug 20
Heron scored it: 59% denial risk
3 factors found, appeal path chosen
Aug 20
Appeal window closes
80 days left to file
Nov 18

The denial

Medical Necessity, code 50

Patient: Yusuf Demir, born 1981-02-20
Payer: Cigna
Procedure: X-Ray Lumbar Spine, 4+ Views (72110)
Diagnosis: M54.51
Denied on: Aug 20, 2026
Assigned to: Heron

Heron says

Cigna denies 62% of 72110 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.