← Triage Tracker

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)

StepStatusModel · promptConfidenceCostLatency
ClassifierSucceededclaude-haiku-4-5 · v295%$0.00101.6s
Evidence ExtractorSucceededclaude-haiku-4-5 · v275%$0.00234.1s
Policy CheckerSucceededclaude-sonnet-4-6 · v275%$0.00504.2s
Appeal DrafterSucceededclaude-sonnet-4-6 · v282%$0.027229.4s
Quality CheckerSucceededclaude-sonnet-4-6 · v182%$0.017614.1s