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TEST-CLAIM-00073

Synthetic UHC · Duplicate

Deadline MissedMissed

Denial

CO-18: Exact duplicate claim/service.

Billed
$4,837
Denied
$2,873
Funnel stage
Awaiting Review
Service date
Feb 23, 2026
Denial date
Mar 20, 2026
Appeal deadline
Jun 18, 2026
Procedure codes: CPT: 30631, 58503 · ICD: N39.99, F32.76

Appeal

A draft appeal has been produced.
View appeal letter →

AI pipeline trace (5 runs)

StepStatusModel · promptConfidenceCostLatency
ClassifierSucceededclaude-haiku-4-5 · v295%$0.00091.4s
Evidence ExtractorSucceededclaude-haiku-4-5 · v275%$0.00254.5s
Policy CheckerSucceededclaude-sonnet-4-6 · v282%$0.00503.6s
Appeal DrafterSucceededclaude-sonnet-4-6 · v282%$0.030532.6s
Quality CheckerSucceededclaude-sonnet-4-6 · v188%$0.020017.9s