Denial worklist
Ordered by urgency: the closest deadline first, then the money.
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 389.00 | 358.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 301.00 | 270.00 |
| closed 738d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 241.09 | 210.09 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 229.00 | 198.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 224.00 | 193.00 |
| closed 738d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 224.00 | 193.00 |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 193.99 | 162.99 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 408.00 | 0.00 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 413.00 | 0.00 |
| closed 738d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 738d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 117.32 | 0.00 |
| closed 738d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 738d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 867.00 | 0.00 |
| closed 738d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 26.83 | below cost |
| closed 738d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 4.39 | below cost |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 804.00 | 773.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 767.00 | 736.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 725.00 | 694.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 716.00 | 685.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 676.00 | 645.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 662.00 | 631.00 |
| closed 731d ago | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 505.00 | 474.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 439.00 | 408.00 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 402.00 | 371.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 369.33 | 338.33 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 227.00 | 196.00 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 223.00 | 192.00 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 179.93 | 148.93 |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 143.00 | 112.00 |
| closed 731d ago | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 111.43 | 80.43 |
| closed 731d ago | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 98.00 | 67.00 |
| closed 731d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 731d ago | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 298.00 | 0.00 |
| closed 731d ago | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 515.00 | 0.00 |
| closed 731d ago | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 15.55 | below cost |
| closed 731d ago | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 7.63 | below cost |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 875.00 | 844.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 852.00 | 821.00 |
| closed 725d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 773.00 | 742.00 |
| closed 725d ago | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 722.00 | 691.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 666.00 | 635.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 518.00 | 487.00 |
| closed 725d ago | 11 | CODING | HIS | NORTHSTAR MUTUAL | 499.00 | 468.00 |
| closed 725d ago | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 450.00 | 419.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 335.00 | 304.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 304.00 | 273.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 243.00 | 212.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 216.00 | 185.00 |
| closed 725d ago | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 127.00 | 96.00 |
| closed 725d ago | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 114.43 | 83.43 |
| Total | 18,216.92 | 14,327.60 |