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
3118DUPLICATEBilling RelatedNORTHSTAR MUTUAL867.000.00
3118DUPLICATEBilling RelatedNORTHSTAR MUTUAL150.560.00
3150MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
3196NON_COVEREDUtilizationNORTHSTAR MUTUAL638.000.00
3196NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
3126ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL27.06below cost
3127ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL22.24below cost
32197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN885.00854.00
3250MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN879.00848.00
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN733.00702.00
32197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN662.00631.00
3250MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN414.00383.00
3211CODINGHISMERIDIAN HEALTH PLAN377.16346.16
32197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN351.00320.00
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN290.00259.00
3216BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN264.97233.97
3250MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN261.82230.82
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN213.00182.00
32197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN198.37167.37
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN147.00116.00
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN79.0048.00
3227ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN78.1547.15
3216BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN69.9938.99
32197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN58.0927.09
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN628.000.00
3218DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN643.000.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN115.000.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN103.150.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN870.000.00
3296NON_COVEREDUtilizationMERIDIAN HEALTH PLAN0.000.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN428.000.00
3296NON_COVEREDUtilizationMERIDIAN HEALTH PLAN17.400.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN298.000.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN216.000.00
3218DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN750.000.00
3250MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN225.420.00
3229TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN684.000.00
3226ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN21.86below cost
3216BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN15.27below cost
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN855.00824.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN814.00783.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN771.00740.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN735.00704.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN550.00519.00
3926ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN495.00464.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN365.00334.00
3911CODINGHISMERIDIAN HEALTH PLAN336.84305.84
39197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN306.00275.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN298.00267.00
Total18,207.3510,612.82