Denial worklist
Ordered by urgency: the closest deadline first, then the money.
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 794d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 688.00 | 0.00 |
| closed 794d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 13.13 | below cost |
| closed 787d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 757.00 | 726.00 |
| closed 787d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 649.00 | 618.00 |
| closed 787d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 559.00 | 528.00 |
| closed 787d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 337.00 | 306.00 |
| closed 787d ago | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 280.87 | 249.87 |
| closed 787d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 222.00 | 191.00 |
| closed 787d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 219.00 | 188.00 |
| closed 787d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 216.00 | 185.00 |
| closed 787d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 196.62 | 165.62 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 821.00 | 790.00 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 589.00 | 558.00 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 362.00 | 331.00 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 300.00 | 269.00 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 157.00 | 126.00 |
| closed 781d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 93.00 | 62.00 |
| closed 781d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 878.00 | 847.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 870.00 | 839.00 |
| closed 780d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 679.00 | 648.00 |
| closed 780d ago | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 656.00 | 625.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 646.00 | 615.00 |
| closed 780d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 551.00 | 520.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 460.00 | 429.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 439.00 | 408.00 |
| closed 780d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 203.00 | 172.00 |
| closed 780d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 181.00 | 150.00 |
| closed 780d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 154.00 | 123.00 |
| closed 780d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 84.00 | 53.00 |
| closed 780d ago | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 743.00 | 0.00 |
| closed 780d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 286.00 | 0.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 834.00 | 803.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 788.00 | 757.00 |
| closed 773d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 783.00 | 752.00 |
| closed 773d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 759.00 | 728.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 703.00 | 672.00 |
| closed 773d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 650.00 | 619.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 402.00 | 371.00 |
| closed 773d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 392.00 | 361.00 |
| closed 773d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 378.00 | 347.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 292.00 | 261.00 |
| closed 773d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 282.00 | 251.00 |
| closed 773d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 233.00 | 202.00 |
| closed 773d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 224.00 | 193.00 |
| closed 773d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 95.87 | 64.87 |
| closed 773d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 616.00 | 0.00 |
| closed 773d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 620.00 | 0.00 |
| closed 773d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 896.00 | 0.00 |
| closed 767d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 866.00 | 835.00 |
| closed 767d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 678.00 | 647.00 |
| closed 767d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 566.00 | 535.00 |
| closed 767d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 342.00 | 311.00 |
| closed 767d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 323.73 | 292.73 |
| closed 766d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 790.00 | 759.00 |
| closed 766d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 761.00 | 730.00 |
| closed 766d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 651.00 | 620.00 |
| closed 766d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 637.00 | 606.00 |
| closed 766d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 582.00 | 551.00 |
| closed 766d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 559.00 | 528.00 |
| closed 766d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 317.00 | 286.00 |
| closed 766d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 290.00 | 259.00 |
| closed 766d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 283.00 | 252.00 |
| closed 766d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 127.00 | 96.00 |
| closed 766d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 837.00 | 0.00 |
| closed 759d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 850.00 | 819.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 658.00 | 627.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 644.00 | 613.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 642.00 | 611.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 557.00 | 526.00 |
| closed 759d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 423.00 | 392.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 390.00 | 359.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 335.00 | 304.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 210.00 | 179.00 |
| closed 759d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 195.71 | 164.71 |
| closed 759d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 130.00 | 99.00 |
| closed 759d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 96.00 | 65.00 |
| closed 759d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 79.00 | 48.00 |
| closed 759d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 879.00 | 848.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 817.00 | 786.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 812.00 | 781.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 758.00 | 727.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 723.00 | 692.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 652.00 | 621.00 |
| closed 753d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 651.00 | 620.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 594.00 | 563.00 |
| closed 753d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 593.00 | 562.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 577.00 | 546.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 474.00 | 443.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 448.00 | 417.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 262.00 | 231.00 |
| closed 753d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 198.31 | 167.31 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 194.00 | 163.00 |
| closed 753d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 104.00 | 73.00 |
| closed 753d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 753d ago | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 246.38 | 0.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 806.00 | 775.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 740.00 | 709.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 642.00 | 611.00 |
| Total | 47,227.62 | 39,536.24 |