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TEST-CLAIM-00077
Synthetic BCBS-TX · Eligibility
Deadline MissedMissed
Denial
CO-27: Expenses incurred after coverage terminated.
- Billed
- $11,135
- Denied
- $7,810
- Funnel stage
- Awaiting Review
- Service date
- Jan 14, 2026
- Denial date
- Mar 24, 2026
- Appeal deadline
- Jun 22, 2026
Procedure codes: CPT: 93904, 64747, 47947 · ICD: S82.02
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 | 2.4s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0023 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0051 | 4.5s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 88% | $0.0282 | 30.3s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0079 | 1.7s |