Desmond Achebe

CLM-2026-9142, Medicare, X-Ray Foot, Complete (73630)

RecoveredWith me Denied claims

Billed

$481

denied Apr 4

Denial risk

49%

good odds

Appeal window

closed

nothing left to file

Recovered

$481

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Apr 4
Denied by Medicare
Missing Information (16)
Apr 4
Heron scored it: 49% denial risk
3 factors found, appeal path chosen
Apr 4
Paid in full
The money is back
Jul 30

The denial

Missing Information, code 16

Patient: Desmond Achebe, born 1960-06-23
Payer: Medicare
Procedure: X-Ray Foot, Complete (73630)
Diagnosis: M79.671
Denied on: Apr 4, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

Claim rejected for incomplete data, most often a missing referring provider NPI or member ID mismatch. Member ID on file (INS788105) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 14 days.