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TEST-CLAIM-00086
Synthetic UHC · Coding
Appeal NowCritical
Denial
CO-4: The procedure code is inconsistent with the modifier used.
- Billed
- $3,021
- Denied
- $1,559
- Funnel stage
- Awaiting Review
- Service date
- Jan 16, 2026
- Denial date
- Mar 25, 2026
- Appeal deadline
- Jun 23, 2026
Procedure codes: CPT: 54791 · ICD: J45.28, I10.19
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 | 95% | $0.0010 | 1.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0020 | 4.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0048 | 3.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0229 | 25.1s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0068 | 1.8s |