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TEST-CLAIM-00029
Synthetic Cigna · Prior Authorization
Needs Clinical ReviewCritical
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $1,028
- Denied
- $796
- Funnel stage
- Awaiting Review
- Service date
- Nov 27, 2025
- Denial date
- Feb 23, 2026
- Appeal deadline
- Jun 23, 2026
Procedure codes: CPT: 61990, 35995 · ICD: F32.88
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 | 82% | $0.0022 | 4.4s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0049 | 3.9s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0283 | 29.2s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0177 | 14.2s |