← Triage Tracker
TEST-CLAIM-00081
Synthetic BCBS-TX · Prior Authorization
Needs Clinical ReviewApproaching
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $2,623
- Denied
- $1,291
- Funnel stage
- Awaiting Review
- Service date
- Jan 19, 2026
- Denial date
- Apr 3, 2026
- Appeal deadline
- Jul 2, 2026
Procedure codes: CPT: 56129 · ICD: K21.59
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 | 2.2s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0023 | 5.3s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0056 | 9.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0256 | 27.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0136 | 10.4s |