← Triage Tracker
TEST-CLAIM-00007
Synthetic Cigna · Eligibility
Needs Clinical ReviewCritical
Denial
CO-27: Expenses incurred after coverage terminated.
- Billed
- $1,529
- Denied
- $1,177
- Funnel stage
- Awaiting Review
- Service date
- Jan 2, 2026
- Denial date
- Feb 25, 2026
- Appeal deadline
- Jun 25, 2026
Procedure codes: CPT: 69929, 51441 · ICD: M17.58
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% | $0.0010 | 2.9s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0020 | 3.4s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0054 | 4.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0303 | 33.7s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0164 | 14.0s |