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 50×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 94.88 | 63.88 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 44.00 | 13.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 22.79 | below cost |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 432.00 | 401.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 310.71 | 279.71 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 214.34 | 183.34 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 195.51 | 164.51 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 119.00 | 88.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 114.54 | 83.54 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 104.00 | 73.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 90.00 | 59.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 64.00 | 33.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 60.00 | 29.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 27.77 | below cost |
| 81 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 87 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 537.00 | 506.00 |
| 88 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 459.00 | 428.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 766.00 | 735.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 719.00 | 688.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 684.00 | 653.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 566.00 | 535.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 163.91 | 132.91 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 89 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 101 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 545.00 | 514.00 |
| 101 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 491.00 | 460.00 |
| 101 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 92.49 | 61.49 |
| 104 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 252.19 | 221.19 |
| 104 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 153.62 | 122.62 |
| 104 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 104 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 115 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 115 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 385.00 | 354.00 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 107.69 | 76.69 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 827.00 | 796.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 707.00 | 676.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 646.00 | 615.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 338.28 | 307.28 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 238.00 | 207.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 229.88 | 198.88 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 209.95 | 178.95 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 188.00 | 157.00 |
| Total | 11,199.55 | 10,083.55 |