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TEST-CLAIM-00061
Synthetic Aetna · Medical Necessity
Needs Clinical ReviewCritical
Denial
CO-55: Procedure/treatment is deemed experimental/investigational by the payer.
- Billed
- $1,065
- Denied
- $819
- Funnel stage
- Awaiting Review
- Service date
- Oct 6, 2025
- Denial date
- Dec 27, 2025
- Appeal deadline
- Jun 25, 2026
Procedure codes: CPT: 80804, 64935, 86983 · ICD: S82.83
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 | 92% | $0.0011 | 1.9s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0026 | 4.8s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0057 | 6.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0336 | 36.0s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0157 | 10.0s |