Denial worklist
Ordered by urgency: the closest deadline first, then the money.
department Utilization×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 549d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 549d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 189.85 | 0.00 |
| closed 549d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 549d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 121.00 | 0.00 |
| closed 543d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 354.00 | 323.00 |
| closed 543d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 542d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 177.00 | 146.00 |
| closed 542d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 542d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 496.00 | 0.00 |
| closed 535d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 119.91 | 88.91 |
| closed 535d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 195.00 | 0.00 |
| closed 535d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 34.06 | 0.00 |
| closed 535d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 292.48 | 0.00 |
| closed 529d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 434.00 | 403.00 |
| closed 529d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 331.83 | 300.83 |
| closed 529d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 293.00 | 0.00 |
| closed 529d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 528d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 822.00 | 791.00 |
| closed 528d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 528d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 528d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 528d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 113.27 | 0.00 |
| closed 528d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 521d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 80.00 | 0.00 |
| closed 521d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 521d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 515d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 878.00 | 847.00 |
| closed 515d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 410.00 | 379.00 |
| closed 515d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 98.00 | 67.00 |
| closed 515d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 122.00 | 0.00 |
| closed 515d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 515d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 79.18 | 0.00 |
| closed 514d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 473.00 | 442.00 |
| closed 514d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 514d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 411.00 | 0.00 |
| closed 507d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 119.00 | 88.00 |
| closed 507d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 501d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 371.00 | 340.00 |
| closed 501d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 501d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 501d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 500d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 676.00 | 645.00 |
| closed 500d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 509.00 | 0.00 |
| closed 500d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 500d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 500d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 496d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 661.00 | 630.00 |
| closed 496d ago | 96 | NON_COVERED | Utilization | CASCADE CARE | 66.00 | 0.00 |
| closed 493d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 184.00 | 0.00 |
| closed 493d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 493d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 593.00 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 589.00 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 350.62 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 487d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 487d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 60.15 | 0.00 |
| closed 487d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 479d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 768.00 | 737.00 |
| closed 479d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 312.00 | 0.00 |
| closed 479d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 479d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 479d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 77.00 | 0.00 |
| closed 479d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 473d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 473d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 729.00 | 0.00 |
| closed 473d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 473d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 73.00 | 0.00 |
| closed 473d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 473d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 113.78 | 0.00 |
| closed 472d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 472d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 472d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 472d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 472d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 472d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 22.59 | 0.00 |
| closed 466d ago | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 465d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 252.96 | 221.96 |
| closed 465d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 244.71 | 213.71 |
| closed 465d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 459d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 138.63 | 107.63 |
| closed 459d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 41.48 | 0.00 |
| closed 459d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 162.81 | 0.00 |
| closed 459d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 459d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 459d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 459d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 459d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 187.00 | 0.00 |
| closed 458d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 697.00 | 666.00 |
| closed 458d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 451d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 718.00 | 687.00 |
| closed 451d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 451d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 451d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 451d ago | 96 | NON_COVERED | Utilization | CASCADE CARE | 168.05 | 0.00 |
| closed 451d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 451d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 445d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 860.00 | 829.00 |
| closed 445d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 362.52 | 331.52 |
| Total | 16,631.88 | 9,284.56 |