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 |
|---|---|---|---|---|---|---|
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 262.00 | 231.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 216.00 | 185.00 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 200.00 | 169.00 |
| 39 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 155.82 | 124.82 |
| 39 | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 155.00 | 124.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 148.65 | 117.65 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 145.00 | 114.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 112.13 | 81.13 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 107.00 | 76.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 101.00 | 70.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 79.52 | 48.52 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 109.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 315.00 | 0.00 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 39 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 234.96 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 282.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 95.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 65.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 203.46 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 672.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 308.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 702.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 803.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 350.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 697.00 | 0.00 |
| 39 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 187.27 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 94.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 406.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 131.00 | 0.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 29.65 | below cost |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 22.73 | below cost |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 826.00 | 795.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 820.00 | 789.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 785.00 | 754.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 782.00 | 751.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 715.00 | 684.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 712.00 | 681.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 704.00 | 673.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 685.00 | 654.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 669.00 | 638.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 667.00 | 636.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 649.00 | 618.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 634.00 | 603.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 627.00 | 596.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 610.00 | 579.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 608.00 | 577.00 |
| 44 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 600.00 | 569.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 597.00 | 566.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 597.00 | 566.00 |
| Total | 19,676.19 | 13,060.50 |