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TEST-CLAIM-00092
Synthetic Aetna · Medical Necessity
Needs Clinical ReviewApproaching
Denial
CO-50: These services are not deemed a medical necessity by the payer.
- Billed
- $5,022
- Denied
- $2,515
- Funnel stage
- Awaiting Review
- Service date
- Nov 28, 2025
- Denial date
- Jan 23, 2026
- Appeal deadline
- Jul 22, 2026
Procedure codes: CPT: 28191, 71487 · ICD: F32.00, E11.02
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% | $0.0010 | 4.1s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0025 | 5.0s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0052 | 5.3s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0332 | 36.3s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0206 | 26.1s |