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TEST-CLAIM-00089
Synthetic Medicaid-TX · Timely Filing
Needs Clinical ReviewCritical
Denial
CO-29: The time limit for filing this claim has expired.
- Billed
- $19,437
- Denied
- $12,674
- Funnel stage
- Awaiting Review
- Service date
- Mar 18, 2026
- Denial date
- May 30, 2026
- Appeal deadline
- Jun 29, 2026
Procedure codes: CPT: 31241, 36174 · ICD: K21.06
Appeal
A draft appeal has been produced.
AI pipeline trace (5 runs)
| Step | Status | Model · prompt | Confidence | Cost | Latency |
|---|---|---|---|---|---|
| Classifier | Succeeded | claude-haiku-4-5 · v2 | 95% | $0.0011 | 2.3s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 75% | $0.0023 | 3.6s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 75% | $0.0055 | 5.0s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0252 | 27.7s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 88% | $0.0207 | 20.4s |