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TEST-CLAIM-00063
Synthetic BCBS-TX · Timely Filing
Needs Clinical ReviewCritical
Denial
CO-29: The time limit for filing this claim has expired.
- Billed
- $5,172
- Denied
- $2,320
- Funnel stage
- Awaiting Review
- Service date
- Feb 18, 2026
- Denial date
- Mar 28, 2026
- Appeal deadline
- Jun 26, 2026
Procedure codes: CPT: 88269, 12799, 16629 · ICD: J45.16, F32.26
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 | 1.6s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0023 | 4.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0050 | 4.2s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0272 | 29.4s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 82% | $0.0176 | 14.1s |