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TEST-CLAIM-00003
Synthetic UHC · Medical Necessity
Deadline MissedMissed
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $3,182
- Denied
- $1,363
- Funnel stage
- Awaiting Review
- Service date
- Jan 20, 2026
- Denial date
- Feb 27, 2026
- Appeal deadline
- May 28, 2026
Procedure codes: CPT: 42742, 19880 · ICD: G43.12, M17.83
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% | $0.0012 | 2.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0022 | 3.8s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 72% | $0.0054 | 5.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 74% | $0.0336 | 37.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0237 | 21.2s |