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TEST-CLAIM-00082
Synthetic Aetna · Prior Authorization
Needs Clinical ReviewOn Track
Denial
CO-198: Precertification/authorization exceeded.
- Billed
- $12,393
- Denied
- $8,117
- Funnel stage
- Awaiting Review
- Service date
- Jan 21, 2026
- Denial date
- Mar 12, 2026
- Appeal deadline
- Sep 8, 2026
Procedure codes: CPT: 86064, 82655 · ICD: R07.73
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% | $0.0009 | 1.4s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0022 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0048 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0291 | 32.4s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0169 | 13.8s |