Heron

Yusuf Demir

CLM-2026-9018, Cigna, Echocardiography, Complete (93306)

DeniedWith me Denied claims
Billed
$3,635
denied Aug 16
Denial risk
57%
winnable with the right notes
Appeal window
76d
closes Nov 14
Appeals
0
none filed yet

What I did

and what comes next
  1. Claim reached Heron
    Entered by hand
    Aug 16
  2. Denied by Cigna
    Medical Necessity (50)
    Aug 16
  3. Heron
    Heron scored it: 57% denial risk
    3 factors found, appeal path chosen
    Aug 16
  4. Appeal window closes
    76 days left to file
    Nov 14

The denial

Medical Necessity, code 50

Patient
Yusuf Demir, born 1981-02-20
Payer
Cigna
Procedure
Echocardiography, Complete (93306)
Diagnosis
I50.9
Denied on
Aug 16, 2026
Assigned to
Heron
Heron says
Cigna denies 44% of 93306 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.

No appeal yet

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What I sent

  • Clinical notes
  • Operative report

Everything I know about Yusuf

across every queue
Everything for this patient
Open exposure
$12,010
Recovered
$0
4 denied claims0 prior auths0 underpayments2 backlog claims
CLM-2026-9133
72110 · Medical Necessity
$2,083
In review
Aug 20
CLM-2026-9018viewing
93306 · Medical Necessity
$3,635
Denied
Aug 16
CLM-2026-9107
93306 · Medical Necessity
$2,873
Denied
Aug 14
CLM-2026-9078
93015 · Pre-Auth Missing
$2,928
Denied
Aug 8
CLM-2026-5032
72110 · 36d outstanding
$218
Partially paid
Jul 25
CLM-2026-5126
71046 · 48d outstanding
$273
In follow up
Jul 13