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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)

StepStatusModel · promptConfidenceCostLatency
ClassifierSucceededclaude-haiku-4-5 · v295%$0.00122.7s
Evidence ExtractorSucceededclaude-haiku-4-5 · v272%$0.00223.8s
Policy CheckerSucceededclaude-sonnet-4-6 · v272%$0.00545.5s
Appeal DrafterSucceededclaude-sonnet-4-6 · v274%$0.033637.5s
Quality CheckerSucceededclaude-sonnet-4-6 · v188%$0.023721.2s