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TEST-CLAIM-00090
Synthetic Humana · Documentation Request
Needs DocumentationOn Track
Denial
CO-252: An attachment/other documentation is required to adjudicate this claim.
- Billed
- $5,850
- Denied
- $2,266
- Funnel stage
- Awaiting Review
- Service date
- May 26, 2026
- Denial date
- Jun 22, 2026
- Appeal deadline
- Aug 21, 2026
Procedure codes: CPT: 31012 · ICD: R07.65, I10.55
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 | 2.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0021 | 3.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0045 | 3.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0233 | 25.6s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0159 | 13.6s |