Owen Gallagher

CLM-2026-9014, Medicare, X-Ray Foot, Complete (73630)

In appealWith the payer Denied claims

Billed

$1,619

denied Jul 21

Denial risk

64%

winnable with the right notes

Appeal window

50d

closes Oct 19

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jul 21
Denied by Medicare
Medical Necessity (50)
Jul 21
Heron scored it: 64% denial risk
3 factors found, appeal path chosen
Jul 21

The denial

Medical Necessity, code 50

Patient: Owen Gallagher, born 1950-01-26
Payer: Medicare
Procedure: X-Ray Foot, Complete (73630)
Diagnosis: M79.671
Denied on: Jul 21, 2026
Assigned to: Heron

Heron says

Medicare denies 40% of 73630 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.