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TEST-CLAIM-00026
Synthetic Medicaid-TX · Documentation Request
Deadline MissedMissed
Denial
CO-226: Information requested from the billing/rendering provider was not provided.
- Billed
- $5,251
- Denied
- $3,751
- Funnel stage
- Awaiting Review
- Service date
- Feb 17, 2026
- Denial date
- May 1, 2026
- Appeal deadline
- May 31, 2026
Procedure codes: CPT: 13552, 21003, 94246 · ICD: I10.59, I10.06
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% | $0.0011 | 2.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0023 | 3.9s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0048 | 3.7s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0256 | 27.8s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0074 | 2.1s |