← Triage Tracker
TEST-CLAIM-00036
Synthetic Medicaid-TX · Eligibility
Appeal NowCritical
Denial
CO-242: Services not provided by network/primary care providers.
- Billed
- $6,184
- Denied
- $3,418
- Funnel stage
- Awaiting Review
- Service date
- May 1, 2026
- Denial date
- May 27, 2026
- Appeal deadline
- Jun 26, 2026
Procedure codes: CPT: 11854, 80010 · ICD: K21.05
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 | 85% | $0.0012 | 2.6s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 78% | $0.0024 | 5.5s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0055 | 4.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0261 | 26.0s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0076 | 1.9s |