← Triage Tracker
TEST-CLAIM-00015
Synthetic Cigna · Coding
Deadline MissedMissed
Denial
CO-4: The procedure code is inconsistent with the modifier used.
- Billed
- $7,881
- Denied
- $2,962
- Funnel stage
- Awaiting Review
- Service date
- Nov 3, 2025
- Denial date
- Jan 30, 2026
- Appeal deadline
- May 30, 2026
Procedure codes: CPT: 55309, 51114 · ICD: F32.65, E11.49
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% | $0.0009 | 1.3s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0020 | 3.7s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0044 | 3.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0270 | 29.2s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0163 | 11.2s |