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TEST-CLAIM-00055
Synthetic Medicaid-TX · Prior Authorization
Needs Clinical ReviewApproaching
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $2,709
- Denied
- $2,708
- Funnel stage
- Awaiting Review
- Service date
- Apr 28, 2026
- Denial date
- Jun 13, 2026
- Appeal deadline
- Jul 13, 2026
Procedure codes: CPT: 23979, 41091 · ICD: F32.45, F32.37
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% | $0.0011 | 3.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0024 | 4.7s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0047 | 3.6s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 87% | $0.0335 | 34.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0185 | 14.2s |