← Triage Tracker
TEST-CLAIM-00049
Synthetic BCBS-TX · Prior Authorization
Appeal NowCritical
Denial
CO-198: Precertification/authorization exceeded.
- Billed
- $1,001
- Denied
- $565
- Funnel stage
- Awaiting Review
- Service date
- Feb 1, 2026
- Denial date
- Mar 31, 2026
- Appeal deadline
- Jun 29, 2026
Procedure codes: CPT: 34727, 41300 · ICD: J45.99, S82.05
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 | 95% | $0.0010 | 2.8s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0022 | 3.5s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0049 | 10.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0286 | 31.1s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0081 | 1.8s |