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TEST-CLAIM-00016
Synthetic Aetna · Coding
Needs Clinical ReviewOn Track
Denial
CO-16: Claim/service lacks information or has submission/billing error(s).
- Billed
- $3,683
- Denied
- $3,018
- Funnel stage
- Awaiting Review
- Service date
- Feb 14, 2026
- Denial date
- Apr 24, 2026
- Appeal deadline
- Oct 21, 2026
Procedure codes: CPT: 35825, 57739, 66531 · ICD: N39.79
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 | 85% | $0.0012 | 2.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0024 | 4.4s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0055 | 5.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0287 | 31.6s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0159 | 11.1s |