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TEST-CLAIM-00038
Synthetic UHC · Documentation Request
Needs DocumentationOn Track
Denial
CO-226: Information requested from the billing/rendering provider was not provided.
- Billed
- $1,237
- Denied
- $731
- Funnel stage
- Awaiting Review
- Service date
- Feb 6, 2026
- Denial date
- May 3, 2026
- Appeal deadline
- Aug 1, 2026
Procedure codes: CPT: 91057, 39581, 78494 · ICD: R07.56, K21.75
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% | $0.0010 | 1.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0023 | 5.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0048 | 10.0s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0257 | 26.3s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0222 | 20.6s |