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TEST-CLAIM-00037
Synthetic Medicaid-TX · Coding
Needs Clinical ReviewApproaching
Denial
CO-16: Claim/service lacks information or has submission/billing error(s).
- Billed
- $1,574
- Denied
- $847
- Funnel stage
- Awaiting Review
- Service date
- Mar 20, 2026
- Denial date
- Jun 4, 2026
- Appeal deadline
- Jul 4, 2026
Procedure codes: CPT: 43092 · ICD: E11.08, S82.62
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 | 75% | $0.0014 | 2.6s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0023 | 4.4s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 72% | $0.0056 | 5.8s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0270 | 56.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 85% | $0.0182 | 16.8s |