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TEST-CLAIM-00010
Synthetic Aetna · Eligibility
Appeal NowOn Track
Denial
CO-27: Expenses incurred after coverage terminated.
- Billed
- $2,218
- Denied
- $2,187
- Funnel stage
- Awaiting Review
- Service date
- Nov 28, 2025
- Denial date
- Feb 4, 2026
- Appeal deadline
- Aug 3, 2026
Procedure codes: CPT: 67912 · ICD: G43.01, E11.09
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 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0020 | 3.7s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0046 | 3.7s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0246 | 25.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0072 | 1.8s |