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TEST-CLAIM-00071
Synthetic Humana · Contract Dispute
Deadline MissedMissed
Denial
CO-45: Charges exceed your contracted/legislated fee arrangement.
- Billed
- $861
- Denied
- $351
- Funnel stage
- Awaiting Review
- Service date
- Jan 14, 2026
- Denial date
- Mar 14, 2026
- Appeal deadline
- May 13, 2026
Procedure codes: CPT: 39392, 24184 · ICD: G43.47, E11.97
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 | 78% | $0.0024 | 3.9s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0053 | 4.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0287 | 29.3s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0081 | 1.8s |