Desmond Achebe

CLM-2026-9062, Medicare, X-Ray Foot, Complete (73630)

RecoveredWith me Denied claims

Billed

$596

denied Feb 10

Denial risk

73%

winnable with the right notes

Appeal window

closed

nothing left to file

Recovered

$596

the money is back

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Feb 10
Denied by Medicare
Medical Necessity (50)
Feb 10
Heron scored it: 73% denial risk
3 factors found, appeal path chosen
Feb 10
Paid in full
The money is back
May 13

The denial

Medical Necessity, code 50

Patient: Desmond Achebe, born 1960-06-23
Payer: Medicare
Procedure: X-Ray Foot, Complete (73630)
Diagnosis: M79.671
Denied on: Feb 10, 2026
Assigned to: Heron

Appeal successful, payment posted

Heron says

Medicare denies 44% of 73630 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.