X12 Ingest & Denial Analytics

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

Denial worklist

Ordered by urgency: the closest deadline first, then the money.

Appeal windowCARCRoot causeOwns the fixPayerDeniedNet
closed 794d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN688.000.00
closed 794d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN13.13below cost
closed 787d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN757.00726.00
closed 787d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN649.00618.00
closed 787d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN559.00528.00
closed 787d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN337.00306.00
closed 787d ago109COBAccess RelatedMERIDIAN HEALTH PLAN280.87249.87
closed 787d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN222.00191.00
closed 787d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN219.00188.00
closed 787d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN216.00185.00
closed 787d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN196.62165.62
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL821.00790.00
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL589.00558.00
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL362.00331.00
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL300.00269.00
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL157.00126.00
closed 781d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL93.0062.00
closed 781d ago96NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN878.00847.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN870.00839.00
closed 780d ago197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN679.00648.00
closed 780d ago11CODINGHISMERIDIAN HEALTH PLAN656.00625.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN646.00615.00
closed 780d ago50MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN551.00520.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN460.00429.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN439.00408.00
closed 780d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN203.00172.00
closed 780d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN181.00150.00
closed 780d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN154.00123.00
closed 780d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN84.0053.00
closed 780d ago29TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN743.000.00
closed 780d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN286.000.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN834.00803.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN788.00757.00
closed 773d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN783.00752.00
closed 773d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN759.00728.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN703.00672.00
closed 773d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN650.00619.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN402.00371.00
closed 773d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN392.00361.00
closed 773d ago197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN378.00347.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN292.00261.00
closed 773d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN282.00251.00
closed 773d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN233.00202.00
closed 773d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN224.00193.00
closed 773d ago197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN95.8764.87
closed 773d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN616.000.00
closed 773d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN620.000.00
closed 773d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN896.000.00
closed 767d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL866.00835.00
Total23,103.4917,921.49