DenialIntel

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Denials›TIMELY_FILING›claim B05M000473

Denial · CARC 29

TIMELY_FILING · NORTHSTAR MUTUAL

Denied
750.00
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
143
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.
PayerNORTHSTAR MUTUAL
Denial date16 Aug 2026
Appeal deadline12 Feb 2027

Denial workflow

FieldValue
Current statusnew
Appeal outcomenot recorded
Closure reasonnot applicable

What this denial means, and to whom

What should I investigate, and how urgent is it?

Appealable · $0.00 modelled net of rework

The 835 reports CARC 29 on 16 Aug 2026, withholding $750.00 from the provider. Modelled recoverable $0.00, less an estimated rework cost of $31.00, leaves $0.00 net. The configured appeal window for this payer ends 12 Feb 2027, in 143 days. Recommended action: Filing limit expired. Rarely recoverable; fix the charge lag upstream. Confirm the contractual deadline and any exception, reconsideration or correction route with the payer before closing the case.

From: Denial derivation: root cause, appealability, the recoverable amount net of an estimated rework cost, and a filing deadline derived from the denial date.

Limits: The deadline and the recoverable amount are application estimates. The deadline is the denial date plus a configured per-payer window, not a term read from the payer's contract or an appeal notice, and the recoverable figure is a model rather than a promise of payment. Confirm both against the policy before relying on them.

Adjustments

LevelCodeAmountCounts as
linePI/29750.00withheld