Denial worklist
Open appeal windows first, nearest deadline first, then the money; closed windows follow, most recently closed first.
This worklist is where the summary pages lead: the denials behind whatever you selected, with open appeal windows first and the nearest deadline at the top. Closed windows follow as history. Select a reason code to open the denial itself: its adjustments, and what it means to each role.
CARC 197×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| 3 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 580.00 | 549.00 |
| 3 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 248.95 | 217.95 |
| 3 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 152.32 | 121.32 |
| 3 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 41.86 | 10.86 |
| 4 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 634.00 | 603.00 |
| 4 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 622.00 | 591.00 |
| 4 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 579.00 | 548.00 |
| 4 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 237.38 | 206.38 |
| 4 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 46.79 | 15.79 |
| 11 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 879.00 | 848.00 |
| 11 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 746.00 | 715.00 |
| 11 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 303.00 | 272.00 |
| 11 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 200.02 | 169.02 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 657.00 | 626.00 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 612.00 | 581.00 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 347.00 | 316.00 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 289.83 | 258.83 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 137.00 | 106.00 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 106.19 | 75.19 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 102.04 | 71.04 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 89.00 | 58.00 |
| 14 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 61.68 | 30.68 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 632.00 | 601.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 446.00 | 415.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 442.00 | 411.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 358.00 | 327.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 317.19 | 286.19 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 274.00 | 243.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 271.00 | 240.00 |
| 17 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 124.84 | 93.84 |
| 18 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 881.00 | 850.00 |
| 18 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 538.00 | 507.00 |
| 18 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 136.14 | 105.14 |
| 25 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 661.00 | 630.00 |
| 25 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 236.49 | 205.49 |
| 25 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 60.00 | 29.00 |
| 25 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 15.98 | below cost |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 551.00 | 520.00 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 518.00 | 487.00 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 508.00 | 477.00 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 419.00 | 388.00 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 237.76 | 206.76 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 202.42 | 171.42 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 165.06 | 134.06 |
| 29 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 84.00 | 53.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 566.00 | 535.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 538.00 | 507.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 485.00 | 454.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 256.56 | 225.56 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 188.17 | 157.17 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 91.12 | 60.12 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 53.19 | 22.19 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 885.00 | 854.00 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 662.00 | 631.00 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 351.00 | 320.00 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 198.37 | 167.37 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 58.09 | 27.09 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 306.00 | 275.00 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 145.00 | 114.00 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 22.73 | below cost |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 785.00 | 754.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 610.00 | 579.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 446.00 | 415.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 400.00 | 369.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 372.00 | 341.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 321.00 | 290.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 296.65 | 265.65 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 256.00 | 225.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 212.45 | 181.45 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 138.00 | 107.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 123.00 | 92.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 61.15 | 30.15 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 667.00 | 636.00 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 388.00 | 357.00 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 162.00 | 131.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 309.00 | 278.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 202.00 | 171.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 143.00 | 112.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 31.67 | 0.67 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 860.00 | 829.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 838.00 | 807.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 774.00 | 743.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 620.00 | 589.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 613.00 | 582.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 589.00 | 558.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 422.00 | 391.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 396.00 | 365.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 365.00 | 334.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 316.16 | 285.16 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 278.01 | 247.01 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 263.00 | 232.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 203.51 | 172.51 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 197.00 | 166.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 192.00 | 161.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 154.00 | 123.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 122.19 | 91.19 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 121.33 | 90.33 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 80.97 | 49.97 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 74.00 | 43.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 22.81 | below cost |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 779.00 | 748.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 604.00 | 573.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 382.00 | 351.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 242.00 | 211.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 108.00 | 77.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 861.00 | 830.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 814.00 | 783.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 784.00 | 753.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 638.00 | 607.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 506.00 | 475.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 207.24 | 176.24 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 132.17 | 101.17 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 41.80 | 10.80 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 39.41 | 8.41 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 696.00 | 665.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 570.00 | 539.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 454.00 | 423.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 347.00 | 316.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 340.00 | 309.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 288.77 | 257.77 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 261.71 | 230.71 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 157.00 | 126.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 100.71 | 69.71 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 89.99 | 58.99 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 38.56 | 7.56 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 879.00 | 848.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 811.00 | 780.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 758.00 | 727.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 553.00 | 522.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 479.00 | 448.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 357.49 | 326.49 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 291.00 | 260.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 275.88 | 244.88 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 178.00 | 147.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 104.13 | 73.13 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 82.00 | 51.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 50.95 | 19.95 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 20.76 | below cost |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 16.69 | below cost |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 824.00 | 793.00 |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 459.00 | 428.00 |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 100.61 | 69.61 |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 33.37 | 2.37 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 589.00 | 558.00 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 322.00 | 291.00 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 316.17 | 285.17 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 266.00 | 235.00 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 246.21 | 215.21 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 210.97 | 179.97 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 200.95 | 169.95 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 176.83 | 145.83 |
| 87 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 158.59 | 127.59 |
| 88 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 767.00 | 736.00 |
| 88 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 560.00 | 529.00 |
| 88 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 524.00 | 493.00 |
| 88 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 393.00 | 362.00 |
| 88 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 7.78 | below cost |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 698.00 | 667.00 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 605.00 | 574.00 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 427.00 | 396.00 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 255.80 | 224.80 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 240.38 | 209.38 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 235.47 | 204.47 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 140.04 | 109.04 |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 16.66 | below cost |
| 89 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 6.84 | below cost |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 443.00 | 412.00 |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 131.19 | 100.19 |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 123.00 | 92.00 |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 66.00 | 35.00 |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 41.53 | 10.53 |
| 101 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 40.73 | 9.73 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 568.00 | 537.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 557.00 | 526.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 422.00 | 391.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 411.00 | 380.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 360.22 | 329.22 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 235.61 | 204.61 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 208.00 | 177.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 147.84 | 116.84 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 136.00 | 105.00 |
| 104 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 47.28 | 16.28 |
| 115 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 827.00 | 796.00 |
| 115 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 824.00 | 793.00 |
| 115 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 338.95 | 307.95 |
| 115 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 150.21 | 119.21 |
| 115 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 131.15 | 100.15 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 893.00 | 862.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 809.00 | 778.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 706.00 | 675.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 430.00 | 399.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 416.00 | 385.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 268.86 | 237.86 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 196.28 | 165.28 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 195.51 | 164.51 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 74.00 | 43.00 |
| 119 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 61.56 | 30.56 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 852.00 | 821.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 709.00 | 678.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 689.00 | 658.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 682.00 | 651.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 275.00 | 244.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 239.30 | 208.30 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 215.49 | 184.49 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 131.97 | 100.97 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 88.55 | 57.55 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 80.57 | 49.57 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 79.00 | 48.00 |
| 129 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 34.49 | 3.49 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 871.00 | 840.00 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 828.00 | 797.00 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 401.20 | 370.20 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 189.00 | 158.00 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 147.05 | 116.05 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 60.20 | 29.20 |
| 134 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 19.45 | below cost |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 766.00 | 735.00 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 734.00 | 703.00 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 636.00 | 605.00 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 278.00 | 247.00 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 261.00 | 230.00 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 242.79 | 211.79 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 124.03 | 93.03 |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 17.97 | below cost |
| 143 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 17.00 | below cost |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 415.00 | 384.00 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 237.96 | 206.96 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 162.07 | 131.07 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 157.60 | 126.60 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 129.00 | 98.00 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 111.00 | 80.00 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 111.00 | 80.00 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 80.00 | 49.00 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 71.55 | 40.55 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 59.97 | 28.97 |
| 149 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 31.29 | 0.29 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 871.00 | 840.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 692.00 | 661.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 627.00 | 596.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 619.00 | 588.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 540.00 | 509.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 320.00 | 289.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 129.00 | 98.00 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 39.91 | 8.91 |
| 157 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 17.16 | below cost |
| 164 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 813.00 | 782.00 |
| 164 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 639.00 | 608.00 |
| 164 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 609.00 | 578.00 |
| 164 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 268.00 | 237.00 |
| 164 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 169.00 | 138.00 |
| Total | 84,951.49 | 77,201.49 |