Denial worklist

Denials›Utilization

Open appeal windows first, nearest deadline first, then the money; closed windows follow, most recently closed first.

department Utilization×

Appeal window	CARC	Root cause	Owns the fix	Payer	Denied	Net
59	96	NON_COVERED	Utilization	CASCADE CARE	0.00	0.00
59	50	MEDICAL_NECESSITY	Utilization	CASCADE CARE	0.00	0.00
59	96	NON_COVERED	Utilization	CASCADE CARE	512.00	0.00
59	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	51.39	0.00
59	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	103.44	0.00
59	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	0.00	0.00
59	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	857.00	0.00
59	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	0.00	0.00
67	50	MEDICAL_NECESSITY	Utilization	MERIDIAN HEALTH PLAN	847.00	816.00
67	50	MEDICAL_NECESSITY	Utilization	MERIDIAN HEALTH PLAN	356.01	325.01
67	50	MEDICAL_NECESSITY	Utilization	MERIDIAN HEALTH PLAN	320.00	289.00
67	50	MEDICAL_NECESSITY	Utilization	MERIDIAN HEALTH PLAN	214.47	183.47
67	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	0.00	0.00
67	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	270.00	0.00
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	846.00	815.00
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	681.00	650.00
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	94.88	63.88
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	44.00	13.00
73	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	337.00	0.00
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	0.00	0.00
73	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	68.40	0.00
73	50	MEDICAL_NECESSITY	Utilization	NORTHSTAR MUTUAL	0.00	0.00
73	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	228.01	0.00
73	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	112.00	0.00
73	96	NON_COVERED	Utilization	NORTHSTAR MUTUAL	0.00	0.00
73	96	NON_COVERED	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	96	NON_COVERED	Utilization	CASCADE CARE	273.00	0.00
74	50	MEDICAL_NECESSITY	Utilization	CASCADE CARE	0.00	0.00
74	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	0.00	0.00
74	96	NON_COVERED	Utilization	CASCADE CARE	0.00	0.00
74	96	NON_COVERED	Utilization	CASCADE CARE	0.00	0.00
74	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	754.00	0.00
74	50	MEDICAL_NECESSITY	Utilization	CASCADE CARE	27.77	below cost
81	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	165.77	0.00
81	50	MEDICAL_NECESSITY	Utilization	MERIDIAN HEALTH PLAN	0.00	0.00
81	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	354.00	0.00
81	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	0.00	0.00
81	96	NON_COVERED	Utilization	MERIDIAN HEALTH PLAN	417.00	0.00
Total					9,661.03	4,538.02