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TEST-CLAIM-00024
Synthetic Aetna · Documentation Request
Needs DocumentationOn Track
Denial
CO-252: An attachment/other documentation is required to adjudicate this claim.
- Billed
- $1,828
- Denied
- $628
- Funnel stage
- Awaiting Review
- Service date
- Jan 11, 2026
- Denial date
- Mar 18, 2026
- Appeal deadline
- Sep 14, 2026
Procedure codes: CPT: 61049, 86556 · ICD: F32.48
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 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0024 | 4.3s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0049 | 9.6s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0297 | 31.4s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0082 | 1.8s |