Marcus Oyelaran

CLM-2026-9026, Aetna, Electrocardiogram, Complete (93000)

In appealWith the payer Denied claims

Billed

$2,292

denied Apr 24

Denial risk

34%

good odds

Appeal window

lapsed

closes Jul 23

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Apr 24
Denied by Aetna
Missing Information (16)
Apr 24
Heron scored it: 34% denial risk
3 factors found, appeal path chosen
Apr 24

The denial

Missing Information, code 16

Patient: Marcus Oyelaran, born 2001-10-13
Payer: Aetna
Procedure: Electrocardiogram, Complete (93000)
Diagnosis: R00.2
Denied on: Apr 24, 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 (INS866577) should be revalidated against the payer's eligibility response. Corrected claims for this reason typically pay within 22 days.