Oscar Lindqvist

CLM-2026-9166, Aetna, Cardiovascular Stress Test (93015)

In appealWith the payer Denied claims

Billed

$1,638

denied May 1

Denial risk

37%

good odds

Appeal window

lapsed

closes Jul 30

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
May 1
Denied by Aetna
Missing Information (16)
May 1
Heron scored it: 37% denial risk
3 factors found, appeal path chosen
May 1

The denial

Missing Information, code 16

Patient: Oscar Lindqvist, born 1995-12-13
Payer: Aetna
Procedure: Cardiovascular Stress Test (93015)
Diagnosis: I25.10
Denied on: May 1, 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 (INS337549) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 17 days.