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
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN27.46below cost
6727ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN17.02below cost
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL885.00854.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL855.00824.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL846.00815.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL841.00810.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL796.00765.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL789.00758.00
7311CODINGHISNORTHSTAR MUTUAL760.00729.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL760.00729.00
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL736.00705.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL696.00665.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL681.00650.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL570.00539.00
7311CODINGHISNORTHSTAR MUTUAL556.00525.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL511.00480.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL454.00423.00
7311CODINGHISNORTHSTAR MUTUAL436.00405.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL403.16372.16
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL347.00316.00
73109COBAccess RelatedNORTHSTAR MUTUAL342.00311.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL340.00309.00
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL322.00291.00
7311CODINGHISNORTHSTAR MUTUAL311.00280.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL288.77257.77
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL282.00251.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL261.71230.71
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL260.14229.14
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL237.00206.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL228.00197.00
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL214.00183.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL213.00182.00
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL178.69147.69
73109COBAccess RelatedNORTHSTAR MUTUAL175.00144.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL174.00143.00
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL157.00126.00
73109COBAccess RelatedNORTHSTAR MUTUAL117.0886.08
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL100.7169.71
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL94.8863.88
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL89.9958.99
73109COBAccess RelatedNORTHSTAR MUTUAL64.0933.09
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL44.0013.00
7327ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL41.1310.13
73197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL38.567.56
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL337.000.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
7318DUPLICATEBilling RelatedNORTHSTAR MUTUAL29.110.00
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL68.400.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL552.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL216.000.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
7318DUPLICATEBilling RelatedNORTHSTAR MUTUAL270.580.00
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL228.010.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL763.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL245.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL697.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL760.000.00
7318DUPLICATEBilling RelatedNORTHSTAR MUTUAL488.000.00
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL112.000.00
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
7396NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL230.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL217.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL255.000.00
7329TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL256.000.00
7318DUPLICATEBilling RelatedNORTHSTAR MUTUAL843.000.00
7350MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL22.79below cost
7316BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL21.21below cost
7427ELIGIBILITYAccess RelatedCASCADE CARE883.00852.00
74197AUTHORIZATIONAccess RelatedCASCADE CARE879.00848.00
7427ELIGIBILITYAccess RelatedCASCADE CARE879.00848.00
7427ELIGIBILITYAccess RelatedCASCADE CARE855.00824.00
7416BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN847.00816.00
7427ELIGIBILITYAccess RelatedCASCADE CARE838.00807.00
7416BILLING_ERRORBilling RelatedCASCADE CARE826.00795.00
7427ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN819.00788.00
74197AUTHORIZATIONAccess RelatedCASCADE CARE811.00780.00
7416BILLING_ERRORBilling RelatedCASCADE CARE808.00777.00
74197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN758.00727.00
7427ELIGIBILITYAccess RelatedCASCADE CARE714.00683.00
7426ELIGIBILITYAccess RelatedCASCADE CARE696.00665.00
7427ELIGIBILITYAccess RelatedCASCADE CARE695.00664.00
7416BILLING_ERRORBilling RelatedCASCADE CARE674.00643.00
7427ELIGIBILITYAccess RelatedCASCADE CARE661.00630.00
7427ELIGIBILITYAccess RelatedCASCADE CARE608.00577.00
7416BILLING_ERRORBilling RelatedCASCADE CARE607.00576.00
7427ELIGIBILITYAccess RelatedCASCADE CARE581.00550.00
7427ELIGIBILITYAccess RelatedCASCADE CARE574.00543.00
7416BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN570.00539.00
7416BILLING_ERRORBilling RelatedCASCADE CARE560.00529.00
7427ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN560.00529.00
74197AUTHORIZATIONAccess RelatedCASCADE CARE553.00522.00
7427ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN548.00517.00
7427ELIGIBILITYAccess RelatedCASCADE CARE528.00497.00
7427ELIGIBILITYAccess RelatedCASCADE CARE480.00449.00
74197AUTHORIZATIONAccess RelatedCASCADE CARE479.00448.00
7427ELIGIBILITYAccess RelatedCASCADE CARE474.00443.00
7427ELIGIBILITYAccess RelatedCASCADE CARE464.00433.00
7416BILLING_ERRORBilling RelatedCASCADE CARE451.00420.00
Total43,832.4934,878.39