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TEST-CLAIM-00008
Synthetic Humana · Medical Necessity
Needs Clinical ReviewCritical
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $2,347
- Denied
- $2,074
- Funnel stage
- Awaiting Review
- Service date
- Feb 7, 2026
- Denial date
- Apr 26, 2026
- Appeal deadline
- Jun 25, 2026
Procedure codes: CPT: 49651, 90173, 95717 · ICD: G43.38
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% | $0.0010 | 1.6s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0023 | 3.9s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 72% | $0.0052 | 4.2s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 72% | $0.0331 | 40.2s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 85% | $0.0211 | 19.4s |