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TEST-CLAIM-00002
Synthetic BCBS-TX · Duplicate
Deadline MissedMissed
Denial
CO-18: Exact duplicate claim/service.
- Billed
- $475
- Denied
- $260
- Funnel stage
- Awaiting Review
- Service date
- Dec 23, 2025
- Denial date
- Jan 30, 2026
- Appeal deadline
- Apr 30, 2026
Procedure codes: CPT: 71213, 17100 · ICD: M17.51
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% | $0.0009 | 1.2s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 85% | $0.0024 | 4.2s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0048 | 4.1s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 85% | $0.0285 | 30.9s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 92% | $0.0081 | 1.9s |