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 |
|---|---|---|---|---|---|---|
| 269 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 780.00 | 749.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 658.00 | 627.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 284 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 466.00 | 435.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 367.00 | 336.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 160.68 | 129.68 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 92.00 | 61.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 299 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 665.00 | 634.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 314 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 329 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 164.00 | 133.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 512.00 | 481.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 352.30 | 321.30 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 129.00 | 98.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 344 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 17.55 | below cost |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 326.00 | 295.00 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 191.10 | 160.10 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 158.00 | 127.00 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 150.25 | 119.25 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 61.00 | 30.00 |
| 359 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 463.00 | 432.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 340.96 | 309.96 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 197.00 | 166.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 1d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 3d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 3d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 3d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 25.44 | below cost |
| closed 10d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 344.00 | 313.00 |
| closed 10d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 11d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 634.00 | 603.00 |
| closed 11d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 234.40 | 203.40 |
| closed 11d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 112.90 | 81.90 |
| closed 11d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 16d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 778.00 | 747.00 |
| Total | 8,379.58 | 7,573.58 |