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TEST-CLAIM-00078
Synthetic Humana · Documentation Request
Needs DocumentationApproaching
Denial
CO-252: An attachment/other documentation is required to adjudicate this claim.
- Billed
- $1,137
- Denied
- $758
- Funnel stage
- Awaiting Review
- Service date
- Mar 16, 2026
- Denial date
- May 15, 2026
- Appeal deadline
- Jul 14, 2026
Procedure codes: CPT: 50668, 54500 · ICD: N39.99
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 | 2.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 82% | $0.0022 | 4.8s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0045 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0250 | 29.6s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0159 | 13.1s |