DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.

Denial worklist

Open appeal windows first, nearest deadline first, then the money; closed windows follow, most recently closed first.

Appeal windowCARCRoot causeOwns the fixPayerDeniedNet
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN262.00231.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN216.00185.00
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN200.00169.00
3926ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN155.82124.82
39109COBAccess RelatedMERIDIAN HEALTH PLAN155.00124.00
3911CODINGHISMERIDIAN HEALTH PLAN148.65117.65
39197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN145.00114.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN112.1381.13
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN107.0076.00
3911CODINGHISMERIDIAN HEALTH PLAN101.0070.00
3911CODINGHISMERIDIAN HEALTH PLAN79.5248.52
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN109.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN315.000.00
3950MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
3996NON_COVEREDUtilizationMERIDIAN HEALTH PLAN234.960.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN282.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN95.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN65.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN203.460.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN672.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN308.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN702.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN803.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN350.000.00
3918DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN697.000.00
3996NON_COVEREDUtilizationMERIDIAN HEALTH PLAN187.270.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN94.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN406.000.00
3929TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN131.000.00
3927ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN29.65below cost
39197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN22.73below cost
4427ELIGIBILITYAccess RelatedCASCADE CARE826.00795.00
4427ELIGIBILITYAccess RelatedCASCADE CARE820.00789.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE785.00754.00
4427ELIGIBILITYAccess RelatedCASCADE CARE782.00751.00
4427ELIGIBILITYAccess RelatedCASCADE CARE715.00684.00
4427ELIGIBILITYAccess RelatedCASCADE CARE712.00681.00
4427ELIGIBILITYAccess RelatedCASCADE CARE704.00673.00
4427ELIGIBILITYAccess RelatedCASCADE CARE685.00654.00
4427ELIGIBILITYAccess RelatedCASCADE CARE669.00638.00
4427ELIGIBILITYAccess RelatedCASCADE CARE667.00636.00
4427ELIGIBILITYAccess RelatedCASCADE CARE649.00618.00
4427ELIGIBILITYAccess RelatedCASCADE CARE634.00603.00
4427ELIGIBILITYAccess RelatedCASCADE CARE627.00596.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE610.00579.00
4411CODINGHISCASCADE CARE608.00577.00
4426ELIGIBILITYAccess RelatedCASCADE CARE600.00569.00
4427ELIGIBILITYAccess RelatedCASCADE CARE597.00566.00
4427ELIGIBILITYAccess RelatedCASCADE CARE597.00566.00
4411CODINGHISCASCADE CARE583.00552.00
4450MEDICAL_NECESSITYUtilizationCASCADE CARE529.00498.00
4426ELIGIBILITYAccess RelatedCASCADE CARE528.00497.00
4427ELIGIBILITYAccess RelatedCASCADE CARE516.00485.00
4427ELIGIBILITYAccess RelatedCASCADE CARE495.00464.00
4427ELIGIBILITYAccess RelatedCASCADE CARE485.00454.00
4427ELIGIBILITYAccess RelatedCASCADE CARE483.00452.00
4427ELIGIBILITYAccess RelatedCASCADE CARE464.00433.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE446.00415.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE400.00369.00
4427ELIGIBILITYAccess RelatedCASCADE CARE378.00347.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE372.00341.00
4416BILLING_ERRORBilling RelatedCASCADE CARE365.90334.90
4416BILLING_ERRORBilling RelatedCASCADE CARE350.00319.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE321.00290.00
4427ELIGIBILITYAccess RelatedCASCADE CARE320.00289.00
4427ELIGIBILITYAccess RelatedCASCADE CARE318.00287.00
4427ELIGIBILITYAccess RelatedCASCADE CARE316.00285.00
4427ELIGIBILITYAccess RelatedCASCADE CARE314.00283.00
4427ELIGIBILITYAccess RelatedCASCADE CARE308.00277.00
4416BILLING_ERRORBilling RelatedCASCADE CARE306.00275.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE296.65265.65
4427ELIGIBILITYAccess RelatedCASCADE CARE288.00257.00
4416BILLING_ERRORBilling RelatedCASCADE CARE286.00255.00
4427ELIGIBILITYAccess RelatedCASCADE CARE274.21243.21
44197AUTHORIZATIONAccess RelatedCASCADE CARE256.00225.00
4427ELIGIBILITYAccess RelatedCASCADE CARE253.00222.00
4427ELIGIBILITYAccess RelatedCASCADE CARE236.00205.00
4411CODINGHISCASCADE CARE233.77202.77
44109COBAccess RelatedCASCADE CARE217.00186.00
44197AUTHORIZATIONAccess RelatedCASCADE CARE212.45181.45
4427ELIGIBILITYAccess RelatedCASCADE CARE184.00153.00
4427ELIGIBILITYAccess RelatedCASCADE CARE176.60145.60
44109COBAccess RelatedCASCADE CARE162.90131.90
4416BILLING_ERRORBilling RelatedCASCADE CARE159.20128.20
4416BILLING_ERRORBilling RelatedCASCADE CARE150.95119.95
4426ELIGIBILITYAccess RelatedCASCADE CARE142.93111.93
4427ELIGIBILITYAccess RelatedCASCADE CARE142.11111.11
4416BILLING_ERRORBilling RelatedCASCADE CARE140.65109.65
44197AUTHORIZATIONAccess RelatedCASCADE CARE138.00107.00
4411CODINGHISCASCADE CARE136.00105.00
4427ELIGIBILITYAccess RelatedCASCADE CARE125.4294.42
44197AUTHORIZATIONAccess RelatedCASCADE CARE123.0092.00
4427ELIGIBILITYAccess RelatedCASCADE CARE102.0071.00
4416BILLING_ERRORBilling RelatedCASCADE CARE99.0068.00
4411CODINGHISCASCADE CARE96.0065.00
4427ELIGIBILITYAccess RelatedCASCADE CARE93.0062.00
4427ELIGIBILITYAccess RelatedCASCADE CARE70.4839.48
44109COBAccess RelatedCASCADE CARE70.1439.14
4427ELIGIBILITYAccess RelatedCASCADE CARE63.5532.55
44197AUTHORIZATIONAccess RelatedCASCADE CARE61.1530.15
4427ELIGIBILITYAccess RelatedCASCADE CARE36.315.31
4418DUPLICATEBilling RelatedCASCADE CARE679.000.00
4418DUPLICATEBilling RelatedCASCADE CARE557.000.00
4450MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
4496NON_COVEREDUtilizationCASCADE CARE523.000.00
4418DUPLICATEBilling RelatedCASCADE CARE23.340.00
4450MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
4429TIMELY_FILINGBilling RelatedCASCADE CARE217.000.00
4496NON_COVEREDUtilizationCASCADE CARE0.000.00
4496NON_COVEREDUtilizationCASCADE CARE76.570.00
4429TIMELY_FILINGBilling RelatedCASCADE CARE91.680.00
4429TIMELY_FILINGBilling RelatedCASCADE CARE85.000.00
4418DUPLICATEBilling RelatedCASCADE CARE551.000.00
4418DUPLICATEBilling RelatedCASCADE CARE828.000.00
4429TIMELY_FILINGBilling RelatedCASCADE CARE843.000.00
4496NON_COVEREDUtilizationCASCADE CARE119.190.00
4418DUPLICATEBilling RelatedCASCADE CARE196.210.00
4429TIMELY_FILINGBilling RelatedCASCADE CARE321.000.00
4418DUPLICATEBilling RelatedCASCADE CARE696.000.00
4418DUPLICATEBilling RelatedCASCADE CARE337.000.00
4496NON_COVEREDUtilizationCASCADE CARE137.790.00
4418DUPLICATEBilling RelatedCASCADE CARE558.000.00
4418DUPLICATEBilling RelatedCASCADE CARE708.000.00
4496NON_COVEREDUtilizationCASCADE CARE0.000.00
4418DUPLICATEBilling RelatedCASCADE CARE750.000.00
4418DUPLICATEBilling RelatedCASCADE CARE868.000.00
4416BILLING_ERRORBilling RelatedCASCADE CARE27.77below cost
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL884.00853.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL828.00797.00
4526ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL803.00772.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL765.00734.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL741.00710.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL728.00697.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL721.00690.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL682.00651.00
45197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL667.00636.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL647.00616.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL625.00594.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL559.00528.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL533.00502.00
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL522.00491.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL505.00474.00
45197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL388.00357.00
4511CODINGHISNORTHSTAR MUTUAL362.36331.36
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL361.00330.00
4511CODINGHISNORTHSTAR MUTUAL348.00317.00
45109COBAccess RelatedNORTHSTAR MUTUAL331.44300.44
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL323.93292.93
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL238.26207.26
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL234.00203.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL222.13191.13
4511CODINGHISNORTHSTAR MUTUAL187.00156.00
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL186.01155.01
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL173.00142.00
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL170.68139.68
45197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL162.00131.00
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL162.00131.00
4511CODINGHISNORTHSTAR MUTUAL136.00105.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL135.00104.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL127.2296.22
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL121.2990.29
4516BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL103.0072.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL102.0071.00
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL95.5164.51
4511CODINGHISNORTHSTAR MUTUAL90.0459.04
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL87.0056.00
45109COBAccess RelatedNORTHSTAR MUTUAL32.671.67
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL793.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL900.000.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL392.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL601.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL73.000.00
4518DUPLICATEBilling RelatedNORTHSTAR MUTUAL112.000.00
4518DUPLICATEBilling RelatedNORTHSTAR MUTUAL323.000.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL220.590.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL171.600.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL181.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL410.000.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL808.000.00
4550MEDICAL_NECESSITYUtilizationNORTHSTAR MUTUAL0.000.00
4596NON_COVEREDUtilizationNORTHSTAR MUTUAL242.430.00
4518DUPLICATEBilling RelatedNORTHSTAR MUTUAL861.000.00
4518DUPLICATEBilling RelatedNORTHSTAR MUTUAL182.560.00
4518DUPLICATEBilling RelatedNORTHSTAR MUTUAL824.000.00
4529TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL239.440.00
4511CODINGHISNORTHSTAR MUTUAL17.30below cost
45109COBAccess RelatedNORTHSTAR MUTUAL15.98below cost
4527ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL11.87below cost
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN891.00860.00
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN883.00852.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN792.00761.00
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN598.00567.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN568.00537.00
46109COBAccess RelatedMERIDIAN HEALTH PLAN550.00519.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN543.00512.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN491.00460.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN309.00278.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN264.00233.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN239.00208.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN231.00200.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN202.00171.00
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN174.00143.00
4611CODINGHISMERIDIAN HEALTH PLAN147.00116.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN143.00112.00
4626ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN126.8995.89
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN104.0073.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN75.1344.13
4611CODINGHISMERIDIAN HEALTH PLAN62.0031.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN31.670.67
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN646.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN747.000.00
4696NON_COVEREDUtilizationMERIDIAN HEALTH PLAN602.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN232.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN152.000.00
4618DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN300.360.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN112.640.00
4650MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN122.000.00
4650MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN796.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN265.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN392.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN521.000.00
4618DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN63.000.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN843.00812.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN721.00690.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN697.00666.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN684.00653.00
5311CODINGHISMERIDIAN HEALTH PLAN425.00394.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN421.00390.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN400.00369.00
5350MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN394.00363.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN350.00319.00
5326ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN314.18283.18
5350MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN298.53267.53
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN245.00214.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN235.88204.88
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN175.77144.77
53109COBAccess RelatedMERIDIAN HEALTH PLAN131.15100.15
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN82.0051.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN66.0035.00
5396NON_COVEREDUtilizationMERIDIAN HEALTH PLAN426.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN233.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN650.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN694.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN574.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN504.000.00
Total86,903.6251,601.53