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TEST-CLAIM-00084
Synthetic Cigna · Contract Dispute
Appeal NowOn Track
Denial
CO-45: Charges exceed your contracted/legislated fee arrangement.
- Billed
- $2,409
- Denied
- $1,731
- Funnel stage
- Awaiting Review
- Service date
- Feb 26, 2026
- Denial date
- Apr 30, 2026
- Appeal deadline
- Aug 28, 2026
Procedure codes: CPT: 94843, 53863, 18639 · ICD: E11.71, S82.36
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 | 1.9s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0023 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0051 | 4.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0308 | 38.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0085 | 2.1s |