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TEST-CLAIM-00094
Synthetic Aetna · Prior Authorization
Appeal NowOn Track
Denial
CO-198: Precertification/authorization exceeded.
- Billed
- $3,470
- Denied
- $2,293
- Funnel stage
- Awaiting Review
- Service date
- Feb 23, 2026
- Denial date
- May 11, 2026
- Appeal deadline
- Nov 7, 2026
Procedure codes: CPT: 28818 · ICD: S82.00, F32.45
Appeal
A draft appeal has been produced.
AI pipeline trace (6 runs)
| Step | Status | Model · prompt | Confidence | Cost | Latency |
|---|---|---|---|---|---|
| Classifier | Failed | claude-haiku-4-5 · v2 | — | $0.0000 | — |
| Classifier | Succeeded | claude-haiku-4-5 · v2 | 95% | $0.0010 | 1.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 82% | $0.0022 | 4.9s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0048 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0285 | 31.5s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0079 | 1.8s |