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TEST-CLAIM-00076
Synthetic Cigna · Prior Authorization
Needs Clinical ReviewOn Track
Denial
CO-197: Precertification/authorization/notification absent.
- Billed
- $928
- Denied
- $558
- Funnel stage
- Awaiting Review
- Service date
- Mar 7, 2026
- Denial date
- May 1, 2026
- Appeal deadline
- Aug 29, 2026
Procedure codes: CPT: 59834 · ICD: G43.71
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% | $0.0012 | 1.6s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0021 | 3.5s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0045 | 3.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0224 | 22.8s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0168 | 14.1s |