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TEST-CLAIM-00039
Synthetic Humana · Medical Necessity
Needs Clinical ReviewOn Track
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $5,717
- Denied
- $5,508
- Funnel stage
- Awaiting Review
- Service date
- May 22, 2026
- Denial date
- Jun 12, 2026
- Appeal deadline
- Aug 11, 2026
Procedure codes: CPT: 91987 · ICD: K21.84
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 | 1.7s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0021 | 4.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0051 | 4.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0306 | 33.4s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0162 | 12.3s |