DenialIntel

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 738d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN389.00358.00
closed 738d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN301.00270.00
closed 738d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN241.09210.09
closed 738d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN229.00198.00
closed 738d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN224.00193.00
closed 738d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN224.00193.00
closed 738d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN193.99162.99
closed 738d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN408.000.00
closed 738d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN413.000.00
closed 738d ago96NON_COVEREDUtilizationMERIDIAN HEALTH PLAN0.000.00
closed 738d ago96NON_COVEREDUtilizationMERIDIAN HEALTH PLAN117.320.00
closed 738d ago50MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
closed 738d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN867.000.00
closed 738d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN26.83below cost
closed 738d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN4.39below cost
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN804.00773.00
closed 731d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN767.00736.00
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN725.00694.00
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN716.00685.00
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN676.00645.00
closed 731d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN662.00631.00
closed 731d ago11CODINGHISMERIDIAN HEALTH PLAN505.00474.00
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN439.00408.00
closed 731d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN402.00371.00
closed 731d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN369.33338.33
closed 731d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN227.00196.00
closed 731d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN223.00192.00
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN179.93148.93
closed 731d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN143.00112.00
closed 731d ago197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN111.4380.43
closed 731d ago27ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN98.0067.00
closed 731d ago50MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
closed 731d ago96NON_COVEREDUtilizationMERIDIAN HEALTH PLAN298.000.00
closed 731d ago18DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN515.000.00
closed 731d ago16BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN15.55below cost
closed 731d ago26ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN7.63below cost
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL875.00844.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL852.00821.00
closed 725d ago11CODINGHISNORTHSTAR MUTUAL773.00742.00
closed 725d ago16BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL722.00691.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL666.00635.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL518.00487.00
closed 725d ago11CODINGHISNORTHSTAR MUTUAL499.00468.00
closed 725d ago27ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL450.00419.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL335.00304.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL304.00273.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL243.00212.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL216.00185.00
closed 725d ago26ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL127.0096.00
closed 725d ago197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL114.4383.43
Total18,216.9214,327.60