Leila Haddad

CLM-2026-9007, BCBS, Electrocardiogram, Complete (93000)

In reviewWith you Denied claims

Billed

$1,214

denied Aug 7

Denial risk

58%

winnable with the right notes

Appeal window

67d

closes Nov 5

Appeals

none filed yet

What I did

and what comes next

Claim reached Heron
Posted from the 835 remittance
Aug 7
Denied by BCBS
Medical Necessity (50)
Aug 7
Heron scored it: 58% denial risk
3 factors found, appeal path chosen
Aug 7
Appeal window closes
67 days left to file
Nov 5

The denial

Medical Necessity, code 50

Patient: Leila Haddad, born 1964-12-23
Payer: BCBS
Procedure: Electrocardiogram, Complete (93000)
Diagnosis: R00.2
Denied on: Aug 7, 2026
Assigned to: Heron

Heron says

BCBS denies 44% 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.