X12 Ingest & Denial Analytics

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Denials›TIMELY_FILING›claim B08M000711

Denial · CARC 29

TIMELY_FILING · NORTHSTAR MUTUAL

Denied
25.99
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
closed 613d 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.
PayerNORTHSTAR MUTUAL
Denial date21 Jul 2024
Appeal deadline17 Jan 2025

Denial workflow

FieldValue
Current statusnew
Appeal outcomenot recorded
Closure reasonnot applicable

What this denial means, and to whom

Is this isolated or recurring?

CARC 29 recurs across 1,345 denials

CARC 29 appears on 1,345 denials in the ingested corpus — 10.4% of 12,891 — carrying $597,375.62 withheld in total. This volume warrants a management investigation across payers, services, locations and evidence results. The shared CARC does not yet establish a shared cause or a single corrective action. Split these cases by evidence result before choosing an intervention, then compare by payer, specialty, location and period.

From: Count and denied value of every denial sharing CARC 29, across the ingested remittances.

Limits: These are counts within the loaded corpus and its reporting period, not the full book of business. A shared reason code is recurrence, not a shared cause: the cases grouped here may arise from different payers, services and failures, and no department is implicated by the count alone.

Adjustments

LevelCodeAmountCounts as
linePI/2925.99withheld