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TEST-CLAIM-00051
Synthetic Medicaid-TX · Coding
Appeal NowApproaching
Denial
CO-16: Claim/service lacks information or has submission/billing error(s).
- Billed
- $1,138
- Denied
- $658
- Funnel stage
- Awaiting Review
- Service date
- Mar 30, 2026
- Denial date
- Jun 4, 2026
- Appeal deadline
- Jul 4, 2026
Procedure codes: CPT: 53065 · ICD: N39.80, R07.69
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 | 1.9s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0023 | 3.8s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0050 | 5.1s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0279 | 29.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0079 | 2.4s |