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 |
|---|---|---|---|---|---|---|
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 867.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 150.56 | 0.00 |
| 31 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 31 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 638.00 | 0.00 |
| 31 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 31 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 27.06 | below cost |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 22.24 | below cost |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 885.00 | 854.00 |
| 32 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 879.00 | 848.00 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 733.00 | 702.00 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 662.00 | 631.00 |
| 32 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 414.00 | 383.00 |
| 32 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 377.16 | 346.16 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 351.00 | 320.00 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 290.00 | 259.00 |
| 32 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 264.97 | 233.97 |
| 32 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 261.82 | 230.82 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 213.00 | 182.00 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 198.37 | 167.37 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 147.00 | 116.00 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 79.00 | 48.00 |
| 32 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 78.15 | 47.15 |
| 32 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 69.99 | 38.99 |
| 32 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 58.09 | 27.09 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 628.00 | 0.00 |
| 32 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 643.00 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 115.00 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 103.15 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 870.00 | 0.00 |
| 32 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 428.00 | 0.00 |
| 32 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 17.40 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 298.00 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 216.00 | 0.00 |
| 32 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 750.00 | 0.00 |
| 32 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 225.42 | 0.00 |
| 32 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 684.00 | 0.00 |
| 32 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 21.86 | below cost |
| 32 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 15.27 | below cost |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 855.00 | 824.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 814.00 | 783.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 771.00 | 740.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 735.00 | 704.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 550.00 | 519.00 |
| 39 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 495.00 | 464.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 365.00 | 334.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 336.84 | 305.84 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 306.00 | 275.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 298.00 | 267.00 |
| Total | 18,207.35 | 10,612.82 |