Denial worklist
Ordered by urgency: the closest deadline first, then the money.
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 703d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 287.00 | 256.00 |
| closed 703d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 231.00 | 200.00 |
| closed 703d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 156.00 | 125.00 |
| closed 703d ago | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 696.00 | 0.00 |
| closed 703d ago | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 416.00 | 0.00 |
| closed 703d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 472.00 | 0.00 |
| closed 703d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 697d ago | 109 | COB | Access Related | NORTHSTAR MUTUAL | 792.00 | 761.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 777.00 | 746.00 |
| closed 697d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 772.00 | 741.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 767.00 | 736.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 750.00 | 719.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 649.00 | 618.00 |
| closed 697d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 591.00 | 560.00 |
| closed 697d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 558.00 | 527.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 479.00 | 448.00 |
| closed 697d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 302.77 | 271.77 |
| closed 697d ago | 109 | COB | Access Related | NORTHSTAR MUTUAL | 253.00 | 222.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 175.00 | 144.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 134.00 | 103.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 124.00 | 93.00 |
| closed 697d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 109.00 | 78.00 |
| closed 697d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 78.00 | 47.00 |
| closed 697d ago | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 286.00 | 0.00 |
| closed 697d ago | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 697d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 697d ago | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 143.00 | 0.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 816.00 | 785.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 711.00 | 680.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 691.00 | 660.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 651.00 | 620.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 563.00 | 532.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 500.00 | 469.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 450.00 | 419.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 384.00 | 353.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 383.00 | 352.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 383.00 | 352.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 382.00 | 351.00 |
| closed 696d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 311.79 | 280.79 |
| closed 696d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 287.00 | 256.00 |
| closed 696d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 267.00 | 236.00 |
| closed 696d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 176.39 | 145.39 |
| closed 696d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 176.00 | 145.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 162.00 | 131.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 126.34 | 95.34 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 124.00 | 93.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 77.00 | 46.00 |
| closed 696d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 75.00 | 44.00 |
| closed 696d ago | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 622.00 | 0.00 |
| closed 696d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 388.12 | 0.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 888.00 | 857.00 |
| closed 689d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 876.00 | 845.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 828.00 | 797.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 695.00 | 664.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 686.00 | 655.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 620.00 | 589.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 577.00 | 546.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 521.00 | 490.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 427.00 | 396.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 404.00 | 373.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 392.00 | 361.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 347.00 | 316.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 256.00 | 225.00 |
| closed 689d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 210.00 | 179.00 |
| closed 689d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 193.76 | 162.76 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 180.00 | 149.00 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 155.00 | 124.00 |
| closed 689d ago | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 107.98 | 76.98 |
| closed 689d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 100.00 | 69.00 |
| closed 689d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 85.87 | 54.87 |
| closed 689d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 53.80 | 22.80 |
| closed 689d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 832.00 | 0.00 |
| closed 689d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 281.00 | 0.00 |
| closed 689d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 67.75 | 0.00 |
| closed 689d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 568.00 | 0.00 |
| closed 689d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 681.00 | 0.00 |
| closed 689d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 28.91 | below cost |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 830.00 | 799.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 757.00 | 726.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 750.00 | 719.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 717.00 | 686.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 679.00 | 648.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 627.00 | 596.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 578.00 | 547.00 |
| closed 683d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 571.00 | 540.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 538.00 | 507.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 496.00 | 465.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 438.00 | 407.00 |
| closed 683d ago | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 428.00 | 397.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 380.00 | 349.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 318.00 | 287.00 |
| closed 683d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 316.00 | 285.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 310.00 | 279.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 306.00 | 275.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 298.00 | 267.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 298.00 | 267.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 227.00 | 196.00 |
| closed 683d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 218.00 | 187.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 198.00 | 167.00 |
| closed 683d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 176.00 | 145.00 |
| Total | 40,220.48 | 32,132.61 |