Hannah Kowalczyk

CLM-2026-9066, Medicare, Electrocardiogram, Complete (93000)

In appealWith the payer Denied claims

Billed

$2,656

denied Jun 19

Denial risk

92%

a hard one, worth it

Appeal window

18d

closes Sep 17

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Entered by hand
Jun 19
Denied by Medicare
Timely Filing (29)
Jun 19
Heron scored it: 92% denial risk
3 factors found, appeal path chosen
Jun 19

The denial

Timely Filing, code 29

Patient: Hannah Kowalczyk, born 1955-05-10
Payer: Medicare
Procedure: Electrocardiogram, Complete (93000)
Diagnosis: R00.2
Denied on: Jun 19, 2026
Assigned to: Heron

Heron says

High recovery risk (92), prioritize this claim in the appeal queue. Timely filing window has lapsed for Medicare, appeal requires proof of original submission. Check clearinghouse acknowledgment records for the original 837 transmission date.

No appeal yet

I can draft one from this claim's history

Draft it View the claim form

Open Intelligence, pick this claim, and I write the letter from the denial, the payer's rules and the clinical guideline. You sign it here.

What I sent

Proof of timely filing

Everything I know about Hannah

across every queue

Everything for this patient

Open exposure

$17,932

Recovered

$16,371

8 denied claims2 prior auths0 underpayments3 backlog claims

AUTH-4057

73721 · MRI Lower Extremity Joint

70553 · MRI Brain w/ and w/o Contrast

93000 · Timely Filing

73721 · 74d outstanding

93306 · 134d outstanding

73721 · Medical Necessity

93000 · 181d outstanding

73721 · Missing Information

93306 · Medical Necessity

70553 · Pre-Auth Missing

73721 · Medical Necessity

72148 · Timely Filing

$2,698

Recovered

Dec 14