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 |
|---|---|---|---|---|---|---|
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 27.46 | below cost |
| 67 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 17.02 | below cost |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 885.00 | 854.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 855.00 | 824.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 846.00 | 815.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 841.00 | 810.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 796.00 | 765.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 789.00 | 758.00 |
| 73 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 760.00 | 729.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 760.00 | 729.00 |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 736.00 | 705.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 696.00 | 665.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 681.00 | 650.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 570.00 | 539.00 |
| 73 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 556.00 | 525.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 511.00 | 480.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 454.00 | 423.00 |
| 73 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 436.00 | 405.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 403.16 | 372.16 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 347.00 | 316.00 |
| 73 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 342.00 | 311.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 340.00 | 309.00 |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 322.00 | 291.00 |
| 73 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 311.00 | 280.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 288.77 | 257.77 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 282.00 | 251.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 261.71 | 230.71 |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 260.14 | 229.14 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 237.00 | 206.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 228.00 | 197.00 |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 214.00 | 183.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 213.00 | 182.00 |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 178.69 | 147.69 |
| 73 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 175.00 | 144.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 174.00 | 143.00 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 157.00 | 126.00 |
| 73 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 117.08 | 86.08 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 100.71 | 69.71 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 94.88 | 63.88 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 89.99 | 58.99 |
| 73 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 64.09 | 33.09 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 44.00 | 13.00 |
| 73 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 41.13 | 10.13 |
| 73 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 38.56 | 7.56 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 337.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 29.11 | 0.00 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 68.40 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 552.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 216.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 270.58 | 0.00 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 228.01 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 763.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 245.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 697.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 760.00 | 0.00 |
| 73 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 488.00 | 0.00 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 112.00 | 0.00 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 230.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 217.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 255.00 | 0.00 |
| 73 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 256.00 | 0.00 |
| 73 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 843.00 | 0.00 |
| 73 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 22.79 | below cost |
| 73 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 21.21 | below cost |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 883.00 | 852.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 879.00 | 848.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 879.00 | 848.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 855.00 | 824.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 847.00 | 816.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 838.00 | 807.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 826.00 | 795.00 |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 819.00 | 788.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 811.00 | 780.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 808.00 | 777.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 758.00 | 727.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 714.00 | 683.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 696.00 | 665.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 695.00 | 664.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 674.00 | 643.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 661.00 | 630.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 608.00 | 577.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 607.00 | 576.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 581.00 | 550.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 574.00 | 543.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 570.00 | 539.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 560.00 | 529.00 |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 560.00 | 529.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 553.00 | 522.00 |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 548.00 | 517.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 528.00 | 497.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 480.00 | 449.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 479.00 | 448.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 474.00 | 443.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 464.00 | 433.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 451.00 | 420.00 |
| Total | 43,832.49 | 34,878.39 |