DenialIntel

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Denials›TIMELY_FILING›claim B07M000890

Denial · CARC 29

TIMELY_FILING · MERIDIAN HEALTH PLAN

Denied
849.00
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
closed 31d ago
Closed

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 date24 May 2026
Appeal deadline22 Aug 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?

$849.00 withheld, nothing paid

Billed $849.00. The payer paid $0.00, withheld $849.00. Of the $849.00 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. The modelled filing window closed 31 days ago. Confirm the contractual deadline before deciding whether a late submission or reconsideration is still open.

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/29849.00withheld