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.
root cause MEDICAL_NECESSITY×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 658.00 | 627.00 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 231.00 | 200.00 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 198.71 | 167.71 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 46.10 | 15.10 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 17d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 158.83 | 127.83 |
| closed 24d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 757.00 | 726.00 |
| closed 24d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 24d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 753.00 | 722.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 438.00 | 407.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 299.82 | 268.82 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 171.00 | 140.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 147.00 | 116.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 25d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 793.00 | 762.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 427.00 | 396.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 219.55 | 188.55 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 116.00 | 85.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 108.98 | 77.98 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 31d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 38d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 721.00 | 690.00 |
| closed 38d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 114.00 | 83.00 |
| closed 38d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 703.00 | 672.00 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 206.54 | 175.54 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 58.95 | 27.95 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 39d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 45d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 690.00 | 659.00 |
| closed 45d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 577.00 | 546.00 |
| closed 45d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 98.42 | 67.42 |
| closed 45d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 46d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 742.00 | 711.00 |
| closed 46d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 326.67 | 295.67 |
| closed 46d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 237.08 | 206.08 |
| closed 46d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 52d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 53d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 92.00 | 61.00 |
| closed 53d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 59d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 612.00 | 581.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 524.00 | 493.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 66d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 850.00 | 819.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 788.00 | 757.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 783.00 | 752.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 76d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 76d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 80d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 514.00 | 483.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 594.00 | 563.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 488.00 | 457.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 219.00 | 188.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 145.00 | 114.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 39.94 | 8.94 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 87d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 78.00 | 47.00 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 680.00 | 649.00 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 228.87 | 197.87 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 206.02 | 175.02 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 94d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 752.00 | 721.00 |
| closed 94d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 176.01 | 145.01 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 168.44 | 137.44 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 389.37 | 358.37 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 124.46 | 93.46 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 773.00 | 742.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 192.85 | 161.85 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 37.53 | 6.53 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 651.00 | 620.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 347.00 | 316.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| Total | 20,451.14 | 18,808.14 |