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 1–100 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
51appeal27ELIGIBILITYMERIDIAN HEALTH PLAN492.0011newnot recordednot applicable
51appeal27ELIGIBILITYMERIDIAN HEALTH PLAN489.0011newnot recordednot applicable
51appeal197AUTHORIZATIONCASCADE CARE626.0014newnot recordednot applicable
51appeal27ELIGIBILITYCASCADE CARE617.0014newnot recordednot applicable
51appeal27ELIGIBILITYCASCADE CARE632.0014newnot recordednot applicable
50appeal27ELIGIBILITYNORTHSTAR MUTUAL142.773newnot recordednot applicable
50appeal197AUTHORIZATIONNORTHSTAR MUTUAL121.323newnot recordednot applicable
50appeal27ELIGIBILITYNORTHSTAR MUTUAL127.003newnot recordednot applicable
50appeal27ELIGIBILITYNORTHSTAR MUTUAL128.003newnot recordednot applicable
50correct and resubmit11CODINGNORTHSTAR MUTUAL120.253newnot recordednot applicable
50appeal197AUTHORIZATIONCASCADE CARE581.0014newnot recordednot applicable
50correct and resubmit16BILLING_ERRORCASCADE CARE594.0014newnot recordednot applicable
50correct and resubmit11CODINGNORTHSTAR MUTUAL690.0017newnot recordednot applicable
49appeal27ELIGIBILITYNORTHSTAR MUTUAL112.003newnot recordednot applicable
49appeal27ELIGIBILITYNORTHSTAR MUTUAL83.423newnot recordednot applicable
49appeal27ELIGIBILITYNORTHSTAR MUTUAL96.003newnot recordednot applicable
49appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL116.083newnot recordednot applicable
49correct and resubmit11CODINGNORTHSTAR MUTUAL80.913newnot recordednot applicable
49appeal27ELIGIBILITYMERIDIAN HEALTH PLAN135.004newnot recordednot applicable
49appeal50MEDICAL_NECESSITYCASCADE CARE549.0014newnot recordednot applicable
49appeal27ELIGIBILITYCASCADE CARE552.0014newnot recordednot applicable
49appeal27ELIGIBILITYCASCADE CARE525.0014newnot recordednot applicable
49appeal27ELIGIBILITYCASCADE CARE525.0014newnot recordednot applicable
49correct and resubmit11CODINGNORTHSTAR MUTUAL662.0017newnot recordednot applicable
49appeal109COBNORTHSTAR MUTUAL640.0017newnot recordednot applicable
49appeal27ELIGIBILITYNORTHSTAR MUTUAL660.0017newnot recordednot applicable
49appeal27ELIGIBILITYMERIDIAN HEALTH PLAN702.0018newnot recordednot applicable
48appeal27ELIGIBILITYNORTHSTAR MUTUAL72.003newnot recordednot applicable
48appeal26ELIGIBILITYNORTHSTAR MUTUAL631.0017newnot recordednot applicable
48appeal197AUTHORIZATIONNORTHSTAR MUTUAL601.0017newnot recordednot applicable
47appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL0.003newnot recordednot applicable
47correct and resubmit16BILLING_ERRORNORTHSTAR MUTUAL31.173newnot recordednot applicable
47appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL0.003newnot recordednot applicable
47appeal197AUTHORIZATIONNORTHSTAR MUTUAL10.863newnot recordednot applicable
47appeal50MEDICAL_NECESSITYNORTHSTAR MUTUAL0.003newnot recordednot applicable
47appeal27ELIGIBILITYNORTHSTAR MUTUAL561.0017newnot recordednot applicable
47appeal27ELIGIBILITYNORTHSTAR MUTUAL565.0017newnot recordednot applicable
46appeal26ELIGIBILITYMERIDIAN HEALTH PLAN20.914newnot recordednot applicable
46appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN15.794newnot recordednot applicable
46appeal50MEDICAL_NECESSITYMERIDIAN HEALTH PLAN0.004newnot recordednot applicable
46appeal27ELIGIBILITYCASCADE CARE421.0014newnot recordednot applicable
46appeal27ELIGIBILITYNORTHSTAR MUTUAL520.0017newnot recordednot applicable
46appeal27ELIGIBILITYMERIDIAN HEALTH PLAN595.0018newnot recordednot applicable
45appeal197AUTHORIZATIONMERIDIAN HEALTH PLAN272.0011newnot recordednot applicable
45appeal26ELIGIBILITYCASCADE CARE398.1114newnot recordednot applicable
45appeal27ELIGIBILITYCASCADE CARE397.0014newnot recordednot applicable
45appeal27ELIGIBILITYNORTHSTAR MUTUAL509.0017newnot recordednot applicable
45correct and resubmit16BILLING_ERRORMERIDIAN HEALTH PLAN539.0018newnot recordednot applicable
45appeal27ELIGIBILITYMERIDIAN HEALTH PLAN534.0018newnot recordednot applicable
44correct and resubmit11CODINGMERIDIAN HEALTH PLAN224.0011newnot recordednot applicable