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 |
|---|---|---|---|---|---|---|
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 444.00 | 413.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 432.00 | 401.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 432.00 | 401.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 430.00 | 399.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 402.00 | 371.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 368.00 | 337.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 362.00 | 331.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 357.49 | 326.49 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 327.00 | 296.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 320.00 | 289.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 310.71 | 279.71 |
| 74 | 11 | CODING | HIS | CASCADE CARE | 306.19 | 275.19 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 305.00 | 274.00 |
| 74 | 109 | COB | Access Related | CASCADE CARE | 291.72 | 260.72 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 291.00 | 260.00 |
| 74 | 109 | COB | Access Related | CASCADE CARE | 289.00 | 258.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 278.00 | 247.00 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 275.88 | 244.88 |
| 74 | 109 | COB | Access Related | CASCADE CARE | 257.00 | 226.00 |
| 74 | 109 | COB | Access Related | CASCADE CARE | 235.00 | 204.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 233.00 | 202.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 221.00 | 190.00 |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 215.00 | 184.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 214.34 | 183.34 |
| 74 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 212.68 | 181.68 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 195.51 | 164.51 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 178.00 | 147.00 |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 154.00 | 123.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 139.00 | 108.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 132.00 | 101.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 128.00 | 97.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 121.37 | 90.37 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 119.00 | 88.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 114.54 | 83.54 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 104.13 | 73.13 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 104.00 | 73.00 |
| 74 | 11 | CODING | HIS | CASCADE CARE | 96.96 | 65.96 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 91.00 | 60.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 90.13 | 59.13 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 90.00 | 59.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 90.00 | 59.00 |
| 74 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 82.80 | 51.80 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 82.00 | 51.00 |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 82.00 | 51.00 |
| 74 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 78.00 | 47.00 |
| 74 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 74.00 | 43.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 64.00 | 33.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 60.00 | 29.00 |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 59.78 | 28.78 |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 50.95 | 19.95 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 327.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 377.55 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 649.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 101.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 233.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 226.00 | 0.00 |
| 74 | 96 | NON_COVERED | Utilization | CASCADE CARE | 273.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 56.67 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 187.26 | 0.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 112.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 458.00 | 0.00 |
| 74 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 834.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 754.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 733.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 393.00 | 0.00 |
| 74 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 215.99 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 201.31 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 33.17 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 494.00 | 0.00 |
| 74 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 751.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 191.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 720.00 | 0.00 |
| 74 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 754.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 232.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 381.00 | 0.00 |
| 74 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 801.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 220.00 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 115.42 | 0.00 |
| 74 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 706.00 | 0.00 |
| 74 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 27.77 | below cost |
| 74 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 26.55 | below cost |
| 74 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 25.37 | below cost |
| 74 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 25.11 | below cost |
| 74 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 20.76 | below cost |
| 74 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 16.69 | below cost |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 824.00 | 793.00 |
| 81 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 787.00 | 756.00 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 491.00 | 460.00 |
| 81 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 459.00 | 428.00 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 345.00 | 314.00 |
| 81 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 322.00 | 291.00 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 313.77 | 282.77 |
| 81 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 304.00 | 273.00 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 295.97 | 264.97 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 249.00 | 218.00 |
| 81 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 214.70 | 183.70 |
| Total | 26,669.24 | 13,061.87 |