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
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN262.00231.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN216.00185.00
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN200.00169.00
3926ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN155.82124.82
39109COBAccess RelatedMERIDIAN HEALTH PLAN155.00124.00
3911CODINGHISMERIDIAN HEALTH PLAN148.65117.65
39197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN145.00114.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN112.1381.13
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN107.0076.00
3911CODINGHISMERIDIAN HEALTH PLAN101.0070.00
3911CODINGHISMERIDIAN HEALTH PLAN79.5248.52
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN109.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN315.000.00
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
3996NON_COVEREDUtilizationMERIDIAN HEALTH PLAN234.960.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN282.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN95.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN65.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN203.460.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN672.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN308.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN702.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN803.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN350.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN697.000.00
3996NON_COVEREDUtilizationMERIDIAN HEALTH PLAN187.270.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN94.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN406.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN131.000.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN29.65below cost
39197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN22.73below cost
4427ELIGIBILITYAccess RelatedCASCADE CARE826.00795.00
4427ELIGIBILITYAccess RelatedCASCADE CARE820.00789.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE785.00754.00
4427ELIGIBILITYAccess RelatedCASCADE CARE782.00751.00
4427ELIGIBILITYAccess RelatedCASCADE CARE715.00684.00
4427ELIGIBILITYAccess RelatedCASCADE CARE712.00681.00
4427ELIGIBILITYAccess RelatedCASCADE CARE704.00673.00
4427ELIGIBILITYAccess RelatedCASCADE CARE685.00654.00
4427ELIGIBILITYAccess RelatedCASCADE CARE669.00638.00
4427ELIGIBILITYAccess RelatedCASCADE CARE667.00636.00
4427ELIGIBILITYAccess RelatedCASCADE CARE649.00618.00
4427ELIGIBILITYAccess RelatedCASCADE CARE634.00603.00
4427ELIGIBILITYAccess RelatedCASCADE CARE627.00596.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE610.00579.00
4411CODINGHISCASCADE CARE608.00577.00
4426ELIGIBILITYAccess RelatedCASCADE CARE600.00569.00
4427ELIGIBILITYAccess RelatedCASCADE CARE597.00566.00
4427ELIGIBILITYAccess RelatedCASCADE CARE597.00566.00
Total19,676.1913,060.50