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 627d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 878.00 | 0.00 |
| closed 627d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 627d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 22.06 | below cost |
| closed 626d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 125.91 | 0.00 |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 298.61 | 267.61 |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 114.67 | 83.67 |
| closed 619d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 777.00 | 0.00 |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 613d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 605d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 859.00 | 828.00 |
| closed 605d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 599d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 599d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 590.00 | 0.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 599d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 195.87 | 0.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 598d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 207.06 | 176.06 |
| closed 598d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 585d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 460.00 | 429.00 |
| closed 585d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 584d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 584d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 577d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 289.00 | 258.00 |
| closed 577d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 181.14 | 150.14 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 571d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 572.00 | 0.00 |
| closed 571d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 570d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 570d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 570d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 570d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 570d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 653.00 | 0.00 |
| closed 570d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 563d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 108.98 | 77.98 |
| closed 563d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 563d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 563d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 563d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 563d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 557d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 651.00 | 0.00 |
| closed 557d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 367.00 | 0.00 |
| closed 557d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 661.00 | 0.00 |
| closed 556d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 556d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 889.00 | 0.00 |
| closed 556d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 549d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 707.00 | 676.00 |
| Total | 9,607.30 | 2,937.52 |