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 |
|---|---|---|---|---|---|---|
| closed 59d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 612.00 | 581.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 524.00 | 493.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 61d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 66d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 850.00 | 819.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 67d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 788.00 | 757.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 783.00 | 752.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 73d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 76d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 76d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 80d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 514.00 | 483.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 594.00 | 563.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 488.00 | 457.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 219.00 | 188.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 145.00 | 114.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 39.94 | 8.94 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 81d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 87d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 78.00 | 47.00 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 680.00 | 649.00 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 228.87 | 197.87 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 206.02 | 175.02 |
| closed 91d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 94d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 752.00 | 721.00 |
| closed 94d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 176.01 | 145.01 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 168.44 | 137.44 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 95d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 389.37 | 358.37 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 124.46 | 93.46 |
| closed 106d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 773.00 | 742.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 192.85 | 161.85 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 37.53 | 6.53 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 109d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 651.00 | 620.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 347.00 | 316.00 |
| closed 115d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| Total | 10,361.49 | 9,586.49 |