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TEST-CLAIM-00043
Synthetic Medicaid-TX · Prior Authorization
Needs Clinical ReviewApproaching
Denial
CO-198: Precertification/authorization exceeded.
- Billed
- $2,616
- Denied
- $2,462
- Funnel stage
- Awaiting Review
- Service date
- Mar 13, 2026
- Denial date
- Jun 8, 2026
- Appeal deadline
- Jul 8, 2026
Procedure codes: CPT: 86720 · ICD: R07.11, R07.44
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 | 85% | $0.0013 | 2.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0022 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0048 | 4.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0296 | 32.4s |
| Quality Checker | Failed | claude-sonnet-4-6 · v1 | — | $0.0000 | — |