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TEST-CLAIM-00052

Synthetic UHC · Medical Necessity

Needs Clinical ReviewOn Track

Denial

CO-55: Procedure/treatment is deemed experimental/investigational by the payer.

Billed
$2,662
Denied
$1,980
Funnel stage
Awaiting Review
Service date
Apr 14, 2026
Denial date
Jun 3, 2026
Appeal deadline
Sep 1, 2026
Procedure codes: CPT: 68153 · ICD: K21.03

Appeal

A draft appeal has been produced.

AI pipeline trace (6 runs)

StepStatusModel · promptConfidenceCostLatency
ClassifierFailedclaude-haiku-4-5 · v2$0.0000
ClassifierSucceededclaude-haiku-4-5 · v290%$0.00132.9s
Evidence ExtractorSucceededclaude-haiku-4-5 · v275%$0.00245.7s
Policy CheckerSucceededclaude-sonnet-4-6 · v282%$0.00503.9s
Appeal DrafterSucceededclaude-sonnet-4-6 · v278%$0.028430.4s
Quality CheckerSucceededclaude-sonnet-4-6 · v188%$0.020818.1s