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TEST-CLAIM-00072

Synthetic BCBS-TX · Coding

Deadline MissedMissed

Denial

CO-16: Claim/service lacks information or has submission/billing error(s).

Billed
$5,969
Denied
$2,545
Funnel stage
Awaiting Review
Service date
Oct 18, 2025
Denial date
Jan 11, 2026
Appeal deadline
Apr 11, 2026
Procedure codes: CPT: 50499, 54541, 56009 · ICD: I10.18

Appeal

A draft appeal has been produced.

AI pipeline trace (5 runs)

StepStatusModel · promptConfidenceCostLatency
ClassifierSucceededclaude-haiku-4-5 · v285%$0.00132.8s
Evidence ExtractorSucceededclaude-haiku-4-5 · v275%$0.00213.5s
Policy CheckerSucceededclaude-sonnet-4-6 · v282%$0.00524.8s
Appeal DrafterSucceededclaude-sonnet-4-6 · v282%$0.029633.4s
Quality CheckerSucceededclaude-sonnet-4-6 · v191%$0.00822.0s