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.
| 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 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 153.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 302.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 141.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 40.93 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 891.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 431.21 | 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 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 530.00 | 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 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 432.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 100.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 771.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 735.00 | 0.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 30.86 | below cost |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 25.96 | below cost |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 25.16 | below cost |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 22.81 | below cost |
| 59 | 11 | CODING | HIS | CASCADE CARE | 7.11 | below cost |
| 59 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 5.68 | below cost |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 857.00 | 826.00 |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 853.00 | 822.00 |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 823.00 | 792.00 |
| 60 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 779.00 | 748.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 779.00 | 748.00 |
| 60 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 729.00 | 698.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 604.00 | 573.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 382.00 | 351.00 |
| 60 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 373.00 | 342.00 |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 344.00 | 313.00 |
| 60 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 281.00 | 250.00 |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 270.00 | 239.00 |
| 60 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 260.00 | 229.00 |
| 60 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 246.00 | 215.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 242.00 | 211.00 |
| 60 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 157.00 | 126.00 |
| 60 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 108.00 | 77.00 |
| 60 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 615.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 298.00 | 0.00 |
| 60 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 594.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 843.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 397.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 80.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 233.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 244.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 181.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 816.00 | 0.00 |
| 60 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 897.00 | 0.00 |
| 60 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 550.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 442.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 633.00 | 0.00 |
| 60 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 333.00 | 0.00 |
| 60 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 29.27 | below cost |
| 60 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 18.14 | below cost |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 861.00 | 830.00 |
| 67 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 847.00 | 816.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 814.00 | 783.00 |
| 67 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 810.00 | 779.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 784.00 | 753.00 |
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 751.00 | 720.00 |
| 67 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 749.00 | 718.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 638.00 | 607.00 |
| 67 | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 602.00 | 571.00 |
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 570.00 | 539.00 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 506.00 | 475.00 |
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 384.00 | 353.00 |
| 67 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 356.01 | 325.01 |
| 67 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 353.88 | 322.88 |
| 67 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 320.00 | 289.00 |
| 67 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 312.44 | 281.44 |
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 240.00 | 209.00 |
| 67 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 214.47 | 183.47 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 207.24 | 176.24 |
| 67 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 176.32 | 145.32 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 132.17 | 101.17 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 41.80 | 10.80 |
| 67 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 39.41 | 8.41 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 766.00 | 0.00 |
| 67 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 652.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 226.27 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 190.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 861.00 | 0.00 |
| 67 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 135.00 | 0.00 |
| 67 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 643.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 79.00 | 0.00 |
| 67 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 270.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 621.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 269.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 727.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 704.00 | 0.00 |
| 67 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 511.00 | 0.00 |
| 67 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 862.00 | 0.00 |
| 67 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 339.00 | 0.00 |
| 67 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 544.00 | 0.00 |
| Total | 40,567.97 | 17,473.73 |