Hannah Kowalczyk

CLM-2026-9138, Medicare, MRI Lower Extremity Joint (73721)

Written offWith me Denied claims

Billed

$4,824

denied Jan 19

Denial risk

32%

good odds

Appeal window

closed

nothing left to file

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jan 19
Denied by Medicare
Missing Information (16)
Jan 19
Heron scored it: 32% denial risk
3 factors found, appeal path chosen
Jan 19
Written off
Every route exhausted
May 13

The denial

Missing Information, code 16

Patient: Hannah Kowalczyk, born 1955-05-10
Payer: Medicare
Procedure: MRI Lower Extremity Joint (73721)
Diagnosis: M23.61
Denied on: Jan 19, 2026
Assigned to: Heron

Heron says

Claim rejected for incomplete data, most often a missing referring provider NPI or member ID mismatch. Member ID on file (INS258823) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 26 days.