Denial worklist
Ordered by urgency: the closest deadline first, then the money.
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 639.00 | 608.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 522.00 | 491.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 423.00 | 392.00 |
| closed 752d ago | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 357.58 | 326.58 |
| closed 752d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 355.00 | 324.00 |
| closed 752d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 298.00 | 267.00 |
| closed 752d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 244.00 | 213.00 |
| closed 752d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 241.72 | 210.72 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 187.00 | 156.00 |
| closed 752d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 156.00 | 125.00 |
| closed 752d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 131.00 | 100.00 |
| closed 752d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 856.00 | 0.00 |
| closed 745d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 865.00 | 834.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 813.00 | 782.00 |
| closed 745d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 782.00 | 751.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 633.00 | 602.00 |
| closed 745d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 496.00 | 465.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 407.00 | 376.00 |
| closed 745d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 334.00 | 303.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 230.00 | 199.00 |
| closed 745d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 219.00 | 188.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 203.00 | 172.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 189.00 | 158.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 185.00 | 154.00 |
| closed 745d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 790.00 | 0.00 |
| closed 745d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 21.18 | below cost |
| closed 739d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 841.00 | 810.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 769.00 | 738.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 676.00 | 645.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 668.00 | 637.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 662.00 | 631.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 624.00 | 593.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 470.00 | 439.00 |
| closed 739d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 468.00 | 437.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 334.00 | 303.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 304.00 | 273.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 297.00 | 266.00 |
| closed 739d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 234.00 | 203.00 |
| closed 739d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 154.00 | 123.00 |
| closed 739d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 119.35 | 88.35 |
| closed 739d ago | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 303.00 | 0.00 |
| closed 738d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 846.00 | 815.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 841.00 | 810.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 770.00 | 739.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 755.00 | 724.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 724.00 | 693.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 720.00 | 689.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 693.00 | 662.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 599.00 | 568.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 412.00 | 381.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 389.00 | 358.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 301.00 | 270.00 |
| closed 738d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 241.09 | 210.09 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 229.00 | 198.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 224.00 | 193.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 224.00 | 193.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 193.99 | 162.99 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 408.00 | 0.00 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 413.00 | 0.00 |
| closed 738d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 738d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 117.32 | 0.00 |
| closed 738d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 867.00 | 0.00 |
| closed 738d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 26.83 | below cost |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 4.39 | below cost |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 804.00 | 773.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 767.00 | 736.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 725.00 | 694.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 716.00 | 685.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 676.00 | 645.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 662.00 | 631.00 |
| closed 731d ago | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 505.00 | 474.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 439.00 | 408.00 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 402.00 | 371.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 369.33 | 338.33 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 227.00 | 196.00 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 223.00 | 192.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 179.93 | 148.93 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 143.00 | 112.00 |
| closed 731d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 111.43 | 80.43 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 98.00 | 67.00 |
| closed 731d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 731d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 298.00 | 0.00 |
| closed 731d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 515.00 | 0.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 15.55 | below cost |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 7.63 | below cost |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 875.00 | 844.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 852.00 | 821.00 |
| closed 725d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 773.00 | 742.00 |
| closed 725d ago | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 722.00 | 691.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 666.00 | 635.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 518.00 | 487.00 |
| closed 725d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 499.00 | 468.00 |
| closed 725d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 450.00 | 419.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 335.00 | 304.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 304.00 | 273.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 243.00 | 212.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 216.00 | 185.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 127.00 | 96.00 |
| closed 725d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 114.43 | 83.43 |
| Total | 42,077.75 | 34,782.43 |