DenialIntel

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Denials›TIMELY_FILING›claim B10M000481

Denial · CARC 29

TIMELY_FILING · MERIDIAN HEALTH PLAN

Denied
225.42
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
32
Days left

Classification

FieldValue
Primary CARC29
All CARCs29
Root causeTIMELY_FILING
Owns the fixBilling Related
Appealableyes
Recoverableno
Recommended actionFiling limit expired. Rarely recoverable; fix the charge lag upstream.
PayerMERIDIAN HEALTH PLAN
Denial date26 Jul 2026
Appeal deadline24 Oct 2026

Denial workflow

FieldValue
Current statusnew
Appeal outcomenot recorded
Closure reasonnot applicable

What this denial means, and to whom

What were we paid, and what can we still pursue?

$524.58 paid, $225.42 withheld

Billed $750.00. The payer paid $524.58, withheld $225.42. Of the $225.42 withheld, $0.00 is modelled as recoverable; less $31.00 to work it, that is $0.00 net. Filing limit expired. Rarely recoverable; fix the charge lag upstream. To pursue the withheld amount, quote the payer's own claim number from the remittance and the adjudication date 26 Jul 2026, and confirm the route and deadline with the payer.

From: 835 CLP amounts and CAS adjustments on this claim; the denial derivation for the modelled recoverable amount and filing window.

Limits: Patient responsibility reported on an 835 is not revenue. This application cannot say whether the practice billed it, whether the patient paid, or whether a secondary payer covered it — those live in a billing system it does not read. The recoverable figure and the deadline are estimates, not a payer commitment.

Adjustments

LevelCodeAmountCounts as
linePI/29225.42withheld