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 |
|---|---|---|---|---|---|---|
| 209 | 96 | NON_COVERED | Utilization | CASCADE CARE | 258.00 | 0.00 |
| 209 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 209 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 209 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 546.00 | 515.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 215.00 | 184.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 123.00 | 0.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 636.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 87.78 | 0.00 |
| 224 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 224 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 559.00 | 528.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 305.00 | 274.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 294.00 | 263.00 |
| 239 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 239 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 4.67 | below cost |
| 254 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 347.04 | 316.04 |
| 254 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 69.92 | 38.92 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 74.00 | 0.00 |
| 254 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 148.00 | 0.00 |
| 254 | 96 | NON_COVERED | Utilization | CASCADE CARE | 294.00 | 0.00 |
| 254 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 23.62 | below cost |
| 269 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 310.08 | 279.08 |
| 269 | 96 | NON_COVERED | Utilization | CASCADE CARE | 217.00 | 0.00 |
| 269 | 96 | NON_COVERED | Utilization | CASCADE CARE | 788.00 | 0.00 |
| 269 | 96 | NON_COVERED | Utilization | CASCADE CARE | 239.00 | 0.00 |
| 269 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 269 | 96 | NON_COVERED | Utilization | CASCADE CARE | 665.00 | 0.00 |
| 269 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 780.00 | 749.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 658.00 | 627.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 622.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 217.00 | 0.00 |
| 284 | 96 | NON_COVERED | Utilization | CASCADE CARE | 62.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 466.00 | 435.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 367.00 | 336.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 160.68 | 129.68 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 92.00 | 61.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 96 | NON_COVERED | Utilization | CASCADE CARE | 764.00 | 0.00 |
| 299 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 665.00 | 634.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 789.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 259.62 | 0.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 860.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 329 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 164.00 | 133.00 |
| 329 | 96 | NON_COVERED | Utilization | CASCADE CARE | 181.82 | 0.00 |
| 329 | 96 | NON_COVERED | Utilization | CASCADE CARE | 300.00 | 0.00 |
| 329 | 96 | NON_COVERED | Utilization | CASCADE CARE | 716.00 | 0.00 |
| 329 | 96 | NON_COVERED | Utilization | CASCADE CARE | 480.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 512.00 | 481.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 352.30 | 321.30 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 129.00 | 98.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 78.43 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 367.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 552.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 17.55 | below cost |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 326.00 | 295.00 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 191.10 | 160.10 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 158.00 | 127.00 |
| Total | 17,491.61 | 6,937.96 |