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TEST-CLAIM-00083
Synthetic Humana · Documentation Request
Needs DocumentationOn Track
Denial
CO-226: Information requested from the billing/rendering provider was not provided.
- Billed
- $1,279
- Denied
- $835
- Funnel stage
- Awaiting Review
- Service date
- Mar 22, 2026
- Denial date
- Jun 8, 2026
- Appeal deadline
- Aug 7, 2026
Procedure codes: CPT: 15130 · ICD: R07.56
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% | $0.0010 | 2.2s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0022 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0048 | 4.6s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0244 | 27.4s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0087 | 4.8s |