Desmond Achebe

CLM-2026-9056, Medicare, Electrocardiogram, Complete (93000)

DeniedWith me Denied claims

Billed

$3,018

denied Aug 22

Denial risk

74%

winnable with the right notes

Appeal window

82d

closes Nov 20

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Aug 22
Denied by Medicare
Medical Necessity (50)
Aug 22
Heron scored it: 74% denial risk
3 factors found, appeal path chosen
Aug 22
Appeal window closes
82 days left to file
Nov 20

The denial

Medical Necessity, code 50

Patient: Desmond Achebe, born 1960-06-23
Payer: Medicare
Procedure: Electrocardiogram, Complete (93000)
Diagnosis: R00.2
Denied on: Aug 22, 2026
Assigned to: Heron

Heron says

Medicare denies 54% of 93000 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.