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TEST-CLAIM-00048
Synthetic UHC · Medical Necessity
Needs Clinical ReviewApproaching
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $4,630
- Denied
- $1,615
- Funnel stage
- Awaiting Review
- Service date
- Jan 31, 2026
- Denial date
- Apr 20, 2026
- Appeal deadline
- Jul 19, 2026
Procedure codes: CPT: 54548, 76550 · ICD: M17.36, K21.75
Appeal
A draft appeal has been produced.
AI pipeline trace (6 runs)
| Step | Status | Model · prompt | Confidence | Cost | Latency |
|---|---|---|---|---|---|
| Classifier | Failed | claude-haiku-4-5 · v2 | — | $0.0000 | — |
| Classifier | Succeeded | claude-haiku-4-5 · v2 | 95% | $0.0010 | 1.4s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0022 | 4.4s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0056 | 4.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0301 | 32.1s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0084 | 2.5s |