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TEST-CLAIM-00020
Synthetic BCBS-TX · Prior Authorization
Needs Clinical ReviewApproaching
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $630
- Denied
- $407
- Funnel stage
- Awaiting Review
- Service date
- Jan 24, 2026
- Denial date
- Apr 21, 2026
- Appeal deadline
- Jul 20, 2026
Procedure codes: CPT: 29342 · ICD: E11.99
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 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0024 | 5.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0050 | 4.1s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 88% | $0.0231 | 23.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0159 | 13.8s |