Noor Rahimi

CLM-2026-9040, Medicaid, MRI Lower Extremity Joint (73721)

In reviewWith you Denied claims

Billed

$5,856

denied Aug 8

Denial risk

62%

winnable with the right notes

Appeal window

68d

closes Nov 6

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Aug 8
Denied by Medicaid
Medical Necessity (50)
Aug 8
Heron scored it: 62% denial risk
3 factors found, appeal path chosen
Aug 8
Appeal window closes
68 days left to file
Nov 6

The denial

Medical Necessity, code 50

Patient: Noor Rahimi, born 1991-05-01
Payer: Medicaid
Procedure: MRI Lower Extremity Joint (73721)
Diagnosis: M23.61
Denied on: Aug 8, 2026
Assigned to: Heron

Heron says

Medicaid denies 52% of 73721 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.