DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.

Denial worklist

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

Appeal windowCARCRoot causeOwns the fixPayerDeniedNet
5996NON_COVEREDUtilizationCASCADE CARE0.000.00
5950MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
5996NON_COVEREDUtilizationCASCADE CARE512.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE153.000.00
5918DUPLICATEBilling RelatedCASCADE CARE302.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE141.000.00
5918DUPLICATEBilling RelatedCASCADE CARE40.930.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL891.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL431.210.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL51.390.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL103.440.00
5918DUPLICATEBilling RelatedCASCADE CARE530.000.00
5950MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL857.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL432.000.00
5918DUPLICATEBilling RelatedCASCADE CARE100.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE771.000.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL735.000.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL30.86below cost
5927ELIGIBILITYAccess RelatedCASCADE CARE25.96below cost
5927ELIGIBILITYAccess RelatedCASCADE CARE25.16below cost
59197AUTHORIZATIONAccess RelatedCASCADE CARE22.81below cost
5911CODINGHISCASCADE CARE7.11below cost
5911CODINGHISNORTHSTAR MUTUAL5.68below cost
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN857.00826.00
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN853.00822.00
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN823.00792.00
6011CODINGHISMERIDIAN HEALTH PLAN779.00748.00
60197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN779.00748.00
6016BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN729.00698.00
60197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN604.00573.00
60197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN382.00351.00
6026ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN373.00342.00
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN344.00313.00
6016BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN281.00250.00
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN270.00239.00
6027ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN260.00229.00
6026ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN246.00215.00
60197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN242.00211.00
6026ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN157.00126.00
60197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN108.0077.00
6018DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN615.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN298.000.00
6018DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN594.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN843.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN397.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN80.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN233.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN244.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN181.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN816.000.00
6018DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN897.000.00
6018DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN550.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN442.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN633.000.00
6029TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN333.000.00
6016BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN29.27below cost
6016BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN18.14below cost
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN861.00830.00
6750MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN847.00816.00
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN814.00783.00
6716BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN810.00779.00
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN784.00753.00
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN751.00720.00
6716BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN749.00718.00
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN638.00607.00
67109COBAccess RelatedMERIDIAN HEALTH PLAN602.00571.00
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN570.00539.00
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN506.00475.00
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN384.00353.00
6750MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN356.01325.01
6711CODINGHISMERIDIAN HEALTH PLAN353.88322.88
6750MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN320.00289.00
6711CODINGHISMERIDIAN HEALTH PLAN312.44281.44
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN240.00209.00
6750MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN214.47183.47
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN207.24176.24
6711CODINGHISMERIDIAN HEALTH PLAN176.32145.32
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN132.17101.17
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN41.8010.80
67197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN39.418.41
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN766.000.00
6718DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN652.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN226.270.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN190.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN861.000.00
6718DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN135.000.00
6796NON_COVEREDUtilizationMERIDIAN HEALTH PLAN0.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN643.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN79.000.00
6796NON_COVEREDUtilizationMERIDIAN HEALTH PLAN270.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN621.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN269.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN727.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN704.000.00
6718DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN511.000.00
6718DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN862.000.00
6718DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN339.000.00
6729TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN544.000.00
Total40,567.9717,473.73