← Triage Tracker
TEST-CLAIM-00027
Synthetic Cigna · Prior Authorization
Appeal NowOn Track
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $973
- Denied
- $550
- Funnel stage
- Awaiting Review
- Service date
- Feb 8, 2026
- Denial date
- Apr 21, 2026
- Appeal deadline
- Aug 19, 2026
Procedure codes: CPT: 43065, 20735 · ICD: M17.95, G43.06
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% | $0.0010 | 1.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0025 | 4.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0049 | 4.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 88% | $0.0325 | 35.7s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0088 | 2.7s |