Teodora Petrova

CLM-2026-9065, BCBS, Echocardiography, Complete (93306)

Written offWith me Denied claims

Billed

$2,030

denied Mar 29

Denial risk

67%

winnable with the right notes

Appeal window

closed

nothing left to file

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Mar 29
Denied by BCBS
Medical Necessity (50)
Mar 29
Heron scored it: 67% denial risk
3 factors found, appeal path chosen
Mar 29
Written off
Every route exhausted
May 22

The denial

Medical Necessity, code 50

Patient: Teodora Petrova, born 1983-03-24
Payer: BCBS
Procedure: Echocardiography, Complete (93306)
Diagnosis: I50.9
Denied on: Mar 29, 2026
Assigned to: Heron

Heron says

BCBS denies 50% of 93306 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.