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TEST-CLAIM-00067
Synthetic BCBS-TX · Prior Authorization
Deadline MissedMissed
Denial
CO-198: Precertification/authorization exceeded.
- Billed
- $5,374
- Denied
- $4,995
- Funnel stage
- Awaiting Review
- Service date
- Dec 24, 2025
- Denial date
- Mar 10, 2026
- Appeal deadline
- Jun 8, 2026
Procedure codes: CPT: 89730, 29442 · ICD: I10.35
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 | 1.9s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0023 | 4.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0052 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0316 | 37.8s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0222 | 19.3s |