Mateo Fuentes

CLM-2026-9024, Cigna, Echocardiography, Complete (93306)

In appealWith the payer Denied claims

Billed

$462

denied Jul 29

Denial risk

59%

winnable with the right notes

Appeal window

58d

closes Oct 27

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Jul 29
Denied by Cigna
Medical Necessity (50)
Jul 29
Heron scored it: 59% denial risk
3 factors found, appeal path chosen
Jul 29

The denial

Medical Necessity, code 50

Patient: Mateo Fuentes, born 1999-02-05
Payer: Cigna
Procedure: Echocardiography, Complete (93306)
Diagnosis: I50.9
Denied on: Jul 29, 2026
Assigned to: Heron

Heron says

Cigna denies 39% 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.