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.
department Utilization×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 107.69 | 76.69 |
| 119 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 119 | 96 | NON_COVERED | Utilization | CASCADE CARE | 835.00 | 0.00 |
| 119 | 96 | NON_COVERED | 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 |
| 119 | 96 | NON_COVERED | 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 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 69.06 | 38.06 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 31.02 | 0.02 |
| 129 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 220.00 | 0.00 |
| 129 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 129 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 129 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 129 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 593.00 | 0.00 |
| 134 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 492.00 | 461.00 |
| 134 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 120.13 | 89.13 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 315.82 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 187.00 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 670.00 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 228.00 | 0.00 |
| 134 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 134 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 143 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 31.52 | 0.52 |
| 143 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 594.00 | 0.00 |
| 143 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 143 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 744.00 | 713.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 319.00 | 288.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 90.00 | 59.00 |
| 149 | 96 | NON_COVERED | Utilization | CASCADE CARE | 16.55 | 0.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 149 | 96 | NON_COVERED | Utilization | CASCADE CARE | 46.75 | 0.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 149 | 96 | NON_COVERED | Utilization | CASCADE CARE | 343.00 | 0.00 |
| 149 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 157 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 106.00 | 75.00 |
| 157 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 75.00 | 44.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 101.15 | 0.00 |
| 157 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 164 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 779.00 | 748.00 |
| 164 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 64.00 | 33.00 |
| 164 | 96 | NON_COVERED | Utilization | CASCADE CARE | 243.66 | 0.00 |
| 164 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 164 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 164 | 96 | NON_COVERED | Utilization | CASCADE CARE | 248.00 | 0.00 |
| 164 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 21.10 | below cost |
| 171 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 496.00 | 465.00 |
| 171 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 177.00 | 146.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 457.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 125.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 546.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 171 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 171 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 327.61 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 518.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 39.19 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 656.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 701.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 497.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 26.07 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 292.09 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 542.00 | 0.00 |
| 179 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 194 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 314.00 | 283.00 |
| 194 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 189.00 | 158.00 |
| 194 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 150.00 | 119.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 875.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 58.40 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 618.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 606.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 194 | 96 | NON_COVERED | Utilization | CASCADE CARE | 324.26 | 0.00 |
| 194 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 29.53 | below cost |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 699.00 | 668.00 |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 502.00 | 471.00 |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 267.00 | 236.00 |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 262.00 | 231.00 |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 55.39 | 24.39 |
| 209 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 209 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| Total | 21,425.10 | 8,551.55 |