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TEST-CLAIM-00044
Synthetic Cigna · Medical Necessity
Needs Clinical ReviewCritical
Denial
CO-55: Procedure/treatment is deemed experimental/investigational by the payer.
- Billed
- $1,264
- Denied
- $634
- Funnel stage
- Awaiting Review
- Service date
- Jan 20, 2026
- Denial date
- Feb 23, 2026
- Appeal deadline
- Jun 23, 2026
Procedure codes: CPT: 82102, 14809 · ICD: E11.40, K21.41
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 | 85% | $0.0011 | 1.8s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0023 | 6.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0052 | 3.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0294 | 31.3s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0168 | 14.1s |