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TEST-CLAIM-00075
Synthetic Aetna · Documentation Request
Needs DocumentationOn Track
Denial
CO-252: An attachment/other documentation is required to adjudicate this claim.
- Billed
- $2,802
- Denied
- $930
- Funnel stage
- Awaiting Review
- Service date
- Dec 2, 2025
- Denial date
- Mar 1, 2026
- Appeal deadline
- Aug 28, 2026
Procedure codes: CPT: 88554, 17180 · ICD: J45.38
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% | $0.0011 | 2.2s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0021 | 3.1s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0048 | 4.2s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0261 | 28.7s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0162 | 12.9s |