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TEST-CLAIM-00013
Synthetic Medicaid-TX · Coding
Needs Clinical ReviewApproaching
Denial
CO-4: The procedure code is inconsistent with the modifier used.
- Billed
- $512
- Denied
- $291
- Funnel stage
- Awaiting Review
- Service date
- Apr 20, 2026
- Denial date
- Jun 7, 2026
- Appeal deadline
- Jul 7, 2026
Procedure codes: CPT: 71694 · ICD: J45.58
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 | 1.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0020 | 3.9s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0046 | 4.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0264 | 30.7s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0149 | 11.7s |