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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)

StepStatusModel · promptConfidenceCostLatency
ClassifierSucceededclaude-haiku-4-5 · v295%$0.00114.5s
Evidence ExtractorSucceededclaude-haiku-4-5 · v285%$0.002610.7s
Policy CheckerSucceededclaude-sonnet-4-6 · v285%$0.00474.2s
Appeal DrafterSucceededclaude-sonnet-4-6 · v285%$0.026350.5s
Quality CheckerSucceededclaude-sonnet-4-6 · v192%$0.00771.9s