Aiko Tanaka

CLM-2026-9073, UnitedHealthcare, Cardiovascular Stress Test (93015)

In appealWith the payer Denied claims

Billed

$3,335

denied Jun 29

Denial risk

66%

winnable with the right notes

Appeal window

28d

closes Sep 27

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Imported from a CSV export
Jun 29
Denied by UnitedHealthcare
Medical Necessity (50)
Jun 29
Heron scored it: 66% denial risk
3 factors found, appeal path chosen
Jun 29

The denial

Medical Necessity, code 50

Patient: Aiko Tanaka, born 1981-01-08
Payer: UnitedHealthcare
Procedure: Cardiovascular Stress Test (93015)
Diagnosis: I25.10
Denied on: Jun 29, 2026
Assigned to: Heron

Heron says

UnitedHealthcare denies 48% of 93015 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.