Write Insurance Appeal
Forward your denial letter (and any EOB or policy docs); get an appeal strategy summary, a ready-to-send appeal letter, and an escalation roadmap.
They denied my MRI claim saying it was not medically necessary, but my orthopedist specifically ordered it after the X-ray showed a possible ligament tear. I need to appeal this before the March 28 deadline.
---------- Forwarded message ----------
From: claims@horizonbenefit.com
Date: Monday, February 24, 2026
Subject: Claim Determination - Claim #HBC-2026-44891
Dear Rachel Vasquez,
After review, your claim for the following service has been denied:
Service: MRI Left Knee w/o Contrast (CPT 73721)
Date of Service: February 10, 2026
Provider: Greenfield Orthopedic Associates
Billed Amount: $1,840.00
Denial Reason: Not Medically Necessary (Code: MN-402)
The requested service does not meet our medical necessity criteria based on the clinical information provided.
You have the right to appeal this determination within 30 days of this notice.
Horizon Benefit Corp - Claims Division
---------- Forwarded message ----------
From: claims@horizonbenefit.com
Date: Monday, February 24, 2026
Subject: Claim Determination - Claim #HBC-2026-44891
Dear Rachel Vasquez,
After review, your claim for the following service has been denied:
Service: MRI Left Knee w/o Contrast (CPT 73721)
Date of Service: February 10, 2026
Provider: Greenfield Orthopedic Associates
Billed Amount: $1,840.00
Denial Reason: Not Medically Necessary (Code: MN-402)
The requested service does not meet our medical necessity criteria based on the clinical information provided.
You have the right to appeal this determination within 30 days of this notice.
Horizon Benefit Corp - Claims Division
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