← Triage Tracker
TEST-CLAIM-00069
Synthetic Cigna · Medical Necessity
Needs Clinical ReviewCritical
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $2,583
- Denied
- $1,546
- Funnel stage
- Awaiting Review
- Service date
- Dec 26, 2025
- Denial date
- Mar 1, 2026
- Appeal deadline
- Jun 29, 2026
Procedure codes: CPT: 43408, 59060, 30006 · ICD: E11.11, E11.11
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 | 95% | $0.0010 | 1.8s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0027 | 4.6s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0056 | 4.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0330 | 34.0s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 85% | $0.0216 | 17.1s |