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TEST-CLAIM-00050
Synthetic Medicaid-TX · Contract Dispute
Needs Clinical ReviewApproaching
Denial
CO-45: Charges exceed your contracted/legislated fee arrangement.
- Billed
- $3,932
- Denied
- $3,835
- Funnel stage
- Awaiting Review
- Service date
- Apr 10, 2026
- Denial date
- Jun 12, 2026
- Appeal deadline
- Jul 12, 2026
Procedure codes: CPT: 75836 · ICD: E11.56, E11.67
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% | $0.0012 | 3.5s |
| Evidence Extractor | Succeeded | claude-haiku-4-5 · v2 | 72% | $0.0024 | 3.7s |
| Policy Checker | Succeeded | claude-sonnet-4-6 · v2 | 82% | $0.0049 | 4.4s |
| Appeal Drafter | Succeeded | claude-sonnet-4-6 · v2 | 78% | $0.0314 | 34.6s |
| Quality Checker | Succeeded | claude-sonnet-4-6 · v1 | 91% | $0.0173 | 14.1s |