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TEST-CLAIM-00025
Synthetic Cigna · Coding
Appeal NowOn Track
Denial
CO-4: The procedure code is inconsistent with the modifier used.
- Billed
- $1,817
- Denied
- $1,240
- Funnel stage
- Awaiting Review
- Service date
- Feb 28, 2026
- Denial date
- May 2, 2026
- Appeal deadline
- Aug 30, 2026
Procedure codes: CPT: 38906, 73993, 38760 · ICD: S82.62, M17.49
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% | $0.0012 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0024 | 6.3s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0053 | 4.7s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0323 | 33.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0088 | 2.0s |