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TEST-CLAIM-00031
Synthetic Medicaid-TX · Coding
Needs Clinical ReviewApproaching
Denial
CO-16: Claim/service lacks information or has submission/billing error(s).
- Billed
- $2,050
- Denied
- $2,001
- Funnel stage
- Awaiting Review
- Service date
- May 12, 2026
- Denial date
- Jun 14, 2026
- Appeal deadline
- Jul 14, 2026
Procedure codes: CPT: 90728, 80539 · ICD: R07.55, F32.34
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 | 85% | $0.0012 | 2.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0024 | 3.8s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0048 | 4.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0253 | 27.8s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0180 | 14.7s |