X12 Ingest & Denial Analytics

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.

Priority worklist

Urgency and money together: a large denial with six months left is not urgent.

Active queue
2,948
Open, priority above 0
Scored denials
12,891
Every denial, closed included
Worked
0
0.0%
Closed
0
Outcome recorded
Success rate
0.0%
Of decided appeals
Recovered
0.00
Money back

Showing 1–50 of 2,948 denials in the active queue, highest priority first. The export carries every one of them.

PriorityActionCARCRoot causePayerNet recoverableAppeal windowCurrent statusAppeal outcomeClosure reason
68appeal26ELIGIBILITYNORTHSTAR MUTUAL843.003newnot recordednot applicable
67appeal27ELIGIBILITYMERIDIAN HEALTH PLAN855.004newnot recordednot applicable
65appeal109COBNORTHSTAR MUTUAL742.003newnot recordednot applicable
65correct and resubmit11CODINGNORTHSTAR MUTUAL758.003newnot recordednot applicable
64appeal109COBNORTHSTAR MUTUAL698.003newnot recordednot applicable
64correct and resubmit16BILLING_ERRORNORTHSTAR MUTUAL704.003newnot recordednot applicable
64appeal27ELIGIBILITYMERIDIAN HEALTH PLAN752.004newnot recordednot applicable
61appeal109COBNORTHSTAR MUTUAL588.003newnot recordednot applicable
61appeal27ELIGIBILITYNORTHSTAR MUTUAL595.003newnot recordednot applicable
61appeal27ELIGIBILITYNORTHSTAR MUTUAL574.003newnot recordednot applicable
61appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN603.004newnot recordednot applicable
61correct and resubmit11CODINGMERIDIAN HEALTH PLAN604.004newnot recordednot applicable
61correct and resubmit16BILLING_ERRORMERIDIAN HEALTH PLAN618.004newnot recordednot applicable
60appeal197AUTHORIZATIONNORTHSTAR MUTUAL549.003newnot recordednot applicable
60appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN591.004newnot recordednot applicable
60appeal27ELIGIBILITYMERIDIAN HEALTH PLAN571.004newnot recordednot applicable
60appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN848.0011newnot recordednot applicable
59appeal27ELIGIBILITYNORTHSTAR MUTUAL502.003newnot recordednot applicable
59appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN548.004newnot recordednot applicable
58appeal27ELIGIBILITYMERIDIAN HEALTH PLAN504.004newnot recordednot applicable
57appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL409.003newnot recordednot applicable
57appeal109COBMERIDIAN HEALTH PLAN731.0011newnot recordednot applicable
57appeal27ELIGIBILITYCASCADE CARE855.0014newnot recordednot applicable
57appeal27ELIGIBILITYCASCADE CARE868.0014newnot recordednot applicable
56appeal27ELIGIBILITYNORTHSTAR MUTUAL391.003newnot recordednot applicable
56appeal27ELIGIBILITYNORTHSTAR MUTUAL373.003newnot recordednot applicable
56appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN715.0011newnot recordednot applicable
56appeal109COBCASCADE CARE823.0014newnot recordednot applicable
56appeal27ELIGIBILITYCASCADE CARE839.0014newnot recordednot applicable
55appeal27ELIGIBILITYNORTHSTAR MUTUAL342.003newnot recordednot applicable
55correct and resubmit11CODINGNORTHSTAR MUTUAL346.003newnot recordednot applicable
55appeal27ELIGIBILITYNORTHSTAR MUTUAL343.003newnot recordednot applicable
55correct and resubmit11CODINGCASCADE CARE786.0014newnot recordednot applicable
55appeal27ELIGIBILITYCASCADE CARE764.0014newnot recordednot applicable
54appeal26ELIGIBILITYMERIDIAN HEALTH PLAN635.0011newnot recordednot applicable
54appeal27ELIGIBILITYCASCADE CARE740.0014newnot recordednot applicable
54appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL846.0017newnot recordednot applicable
53correct and resubmit11CODINGNORTHSTAR MUTUAL270.683newnot recordednot applicable
53appeal109COBMERIDIAN HEALTH PLAN309.414newnot recordednot applicable
53correct and resubmit11CODINGCASCADE CARE693.0014newnot recordednot applicable
53appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN850.0018newnot recordednot applicable
53appeal27ELIGIBILITYMERIDIAN HEALTH PLAN865.0018newnot recordednot applicable
52appeal197AUTHORIZATIONNORTHSTAR MUTUAL217.953newnot recordednot applicable
52appeal27ELIGIBILITYNORTHSTAR MUTUAL212.823newnot recordednot applicable
52appeal26ELIGIBILITYMERIDIAN HEALTH PLAN257.174newnot recordednot applicable
52correct and resubmit11CODINGMERIDIAN HEALTH PLAN553.0011newnot recordednot applicable
52appeal27ELIGIBILITYCASCADE CARE664.0014newnot recordednot applicable
52correct and resubmit16BILLING_ERRORCASCADE CARE670.0014newnot recordednot applicable
51appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN206.384newnot recordednot applicable
51appeal27ELIGIBILITYMERIDIAN HEALTH PLAN518.0011newnot recordednot applicable