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TEST-CLAIM-00053
Synthetic Aetna · Coding
Needs Clinical ReviewOn Track
Denial
CO-16: Claim/service lacks information or has submission/billing error(s).
- Billed
- $2,378
- Denied
- $1,597
- Funnel stage
- Awaiting Review
- Service date
- Jan 2, 2026
- Denial date
- Mar 2, 2026
- Appeal deadline
- Aug 29, 2026
Procedure codes: CPT: 99364, 33600, 32280 · ICD: E11.78
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 | 75% | $0.0017 | 3.0s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0024 | 4.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0048 | 4.0s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0260 | 28.2s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 82% | $0.0097 | 5.6s |