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 121d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 838.00 | 807.00 |
| closed 121d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 25.56 | below cost |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 695.00 | 664.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 178.00 | 147.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 170.12 | 139.12 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 129d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 153.69 | 122.69 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 867.00 | 836.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 413.00 | 382.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 89.50 | 58.50 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 143d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 136.00 | 105.00 |
| closed 143d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 150d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 102.00 | 71.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 246.00 | 215.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 230.00 | 199.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 76.41 | 45.41 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 72.40 | 41.40 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 64.02 | 33.02 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 49.84 | 18.84 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 157d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 577.00 | 546.00 |
| closed 157d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 164d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 164d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 165d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 342.00 | 311.00 |
| closed 165d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 116.12 | 85.12 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 408.00 | 377.00 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 217.96 | 186.96 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 98.34 | 67.34 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 171d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 171d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 103.12 | 72.12 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 179d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 207.40 | 176.40 |
| closed 179d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 196.91 | 165.91 |
| closed 179d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 179.96 | 148.96 |
| closed 181d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 369.00 | 338.00 |
| closed 181d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 181d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 181d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 181d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 185d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 710.00 | 679.00 |
| closed 185d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 194.92 | 163.92 |
| closed 192d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 580.00 | 549.00 |
| closed 192d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 192d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 686.00 | 655.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 615.00 | 584.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 408.00 | 377.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 125.00 | 94.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 193d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 14.94 | below cost |
| closed 196d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 293.00 | 262.00 |
| closed 196d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 150.55 | 119.55 |
| closed 196d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 81.12 | 50.12 |
| closed 199d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 290.60 | 259.60 |
| closed 206d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 464.00 | 433.00 |
| closed 206d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 324.17 | 293.17 |
| closed 206d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 269.41 | 238.41 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 341.00 | 310.00 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 64.38 | 33.38 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 207d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 211d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 220d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 842.00 | 811.00 |
| closed 220d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 126.75 | 95.75 |
| closed 220d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 698.00 | 667.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 607.00 | 576.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 221d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 226d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 657.00 | 626.00 |
| closed 226d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 174.00 | 143.00 |
| closed 227d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 514.00 | 483.00 |
| closed 227d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 404.00 | 373.00 |
| closed 227d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| Total | 16,857.19 | 15,214.19 |