Ravi Menon

CLM-2026-9055, Aetna, MRI Lower Extremity Joint (73721)

In reviewWith you Denied claims

Billed

$4,293

denied Jul 17

Denial risk

66%

winnable with the right notes

Appeal window

46d

closes Oct 15

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jul 17
Denied by Aetna
Medical Necessity (50)
Jul 17
Heron scored it: 66% denial risk
3 factors found, appeal path chosen
Jul 17
Appeal window closes
46 days left to file
Oct 15

The denial

Medical Necessity, code 50

Patient: Ravi Menon, born 1987-01-14
Payer: Aetna
Procedure: MRI Lower Extremity Joint (73721)
Diagnosis: M23.61
Denied on: Jul 17, 2026
Assigned to: Heron

Heron says

Aetna denies 46% 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.