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TEST-CLAIM-00099
Synthetic BCBS-TX · Documentation Request
Needs DocumentationCritical
Denial
CO-226: Information requested from the billing/rendering provider was not provided.
- Billed
- $2,946
- Denied
- $2,790
- Funnel stage
- Awaiting Review
- Service date
- Feb 20, 2026
- Denial date
- Mar 29, 2026
- Appeal deadline
- Jun 27, 2026
Procedure codes: CPT: 44959, 20828, 65640 · ICD: S82.77
Appeal
A draft appeal has been produced.
AI pipeline trace (5 runs)
| Step | Status | Model · prompt | Confidence | Cost | Latency |
|---|---|---|---|---|---|
| Classifier | Succeeded | claude-haiku-4-5 · v2 | 95% | $0.0011 | 4.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0026 | 10.7s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0047 | 4.2s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0263 | 50.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0077 | 1.9s |