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.
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 262.00 | 231.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 216.00 | 185.00 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 200.00 | 169.00 |
| 39 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 155.82 | 124.82 |
| 39 | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 155.00 | 124.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 148.65 | 117.65 |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 145.00 | 114.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 112.13 | 81.13 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 107.00 | 76.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 101.00 | 70.00 |
| 39 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 79.52 | 48.52 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 109.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 315.00 | 0.00 |
| 39 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 39 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 234.96 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 282.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 95.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 65.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 203.46 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 672.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 308.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 702.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 803.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 350.00 | 0.00 |
| 39 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 697.00 | 0.00 |
| 39 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 187.27 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 94.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 406.00 | 0.00 |
| 39 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 131.00 | 0.00 |
| 39 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 29.65 | below cost |
| 39 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 22.73 | below cost |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 826.00 | 795.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 820.00 | 789.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 785.00 | 754.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 782.00 | 751.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 715.00 | 684.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 712.00 | 681.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 704.00 | 673.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 685.00 | 654.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 669.00 | 638.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 667.00 | 636.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 649.00 | 618.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 634.00 | 603.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 627.00 | 596.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 610.00 | 579.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 608.00 | 577.00 |
| 44 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 600.00 | 569.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 597.00 | 566.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 597.00 | 566.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 583.00 | 552.00 |
| 44 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 529.00 | 498.00 |
| 44 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 528.00 | 497.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 516.00 | 485.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 495.00 | 464.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 485.00 | 454.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 483.00 | 452.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 464.00 | 433.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 446.00 | 415.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 400.00 | 369.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 378.00 | 347.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 372.00 | 341.00 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 365.90 | 334.90 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 350.00 | 319.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 321.00 | 290.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 320.00 | 289.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 318.00 | 287.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 316.00 | 285.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 314.00 | 283.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 308.00 | 277.00 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 306.00 | 275.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 296.65 | 265.65 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 288.00 | 257.00 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 286.00 | 255.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 274.21 | 243.21 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 256.00 | 225.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 253.00 | 222.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 236.00 | 205.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 233.77 | 202.77 |
| 44 | 109 | COB | Access Related | CASCADE CARE | 217.00 | 186.00 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 212.45 | 181.45 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 184.00 | 153.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 176.60 | 145.60 |
| 44 | 109 | COB | Access Related | CASCADE CARE | 162.90 | 131.90 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 159.20 | 128.20 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 150.95 | 119.95 |
| 44 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 142.93 | 111.93 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 142.11 | 111.11 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 140.65 | 109.65 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 138.00 | 107.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 136.00 | 105.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 125.42 | 94.42 |
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 123.00 | 92.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 102.00 | 71.00 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 99.00 | 68.00 |
| 44 | 11 | CODING | HIS | CASCADE CARE | 96.00 | 65.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 93.00 | 62.00 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 70.48 | 39.48 |
| 44 | 109 | COB | Access Related | CASCADE CARE | 70.14 | 39.14 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 63.55 | 32.55 |
| Total | 33,203.10 | 25,037.41 |