← Triage Tracker
TEST-CLAIM-00093
Synthetic UHC · Prior Authorization
Appeal NowOn Track
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $1,756
- Denied
- $819
- Funnel stage
- Awaiting Review
- Service date
- Mar 9, 2026
- Denial date
- May 29, 2026
- Appeal deadline
- Aug 27, 2026
Procedure codes: CPT: 16258 · ICD: S82.81
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% | $0.0009 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0022 | 4.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0047 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 88% | $0.0249 | 25.8s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0073 | 1.9s |