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 |
|---|---|---|---|---|---|---|
| 44 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 61.15 | 30.15 |
| 44 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 36.31 | 5.31 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 679.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 557.00 | 0.00 |
| 44 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 523.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 23.34 | 0.00 |
| 44 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 44 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 217.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 76.57 | 0.00 |
| 44 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 91.68 | 0.00 |
| 44 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 85.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 551.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 828.00 | 0.00 |
| 44 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 843.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 119.19 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 196.21 | 0.00 |
| 44 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 321.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 696.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 337.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 137.79 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 558.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 708.00 | 0.00 |
| 44 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 750.00 | 0.00 |
| 44 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 868.00 | 0.00 |
| 44 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 27.77 | below cost |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 884.00 | 853.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 828.00 | 797.00 |
| 45 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 803.00 | 772.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 765.00 | 734.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 741.00 | 710.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 728.00 | 697.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 721.00 | 690.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 682.00 | 651.00 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 667.00 | 636.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 647.00 | 616.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 625.00 | 594.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 559.00 | 528.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 533.00 | 502.00 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 522.00 | 491.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 505.00 | 474.00 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 388.00 | 357.00 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 362.36 | 331.36 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 361.00 | 330.00 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 348.00 | 317.00 |
| 45 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 331.44 | 300.44 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 323.93 | 292.93 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 238.26 | 207.26 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 234.00 | 203.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 222.13 | 191.13 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 187.00 | 156.00 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 186.01 | 155.01 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 173.00 | 142.00 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 170.68 | 139.68 |
| 45 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 162.00 | 131.00 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 162.00 | 131.00 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 136.00 | 105.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 135.00 | 104.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 127.22 | 96.22 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 121.29 | 90.29 |
| 45 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 103.00 | 72.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 102.00 | 71.00 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 95.51 | 64.51 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 90.04 | 59.04 |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 87.00 | 56.00 |
| 45 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 32.67 | 1.67 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 793.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 900.00 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 392.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 601.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 73.00 | 0.00 |
| 45 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 112.00 | 0.00 |
| 45 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 323.00 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 220.59 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 171.60 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 181.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 410.00 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 808.00 | 0.00 |
| 45 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 45 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 242.43 | 0.00 |
| 45 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 861.00 | 0.00 |
| 45 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 182.56 | 0.00 |
| 45 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 824.00 | 0.00 |
| 45 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 239.44 | 0.00 |
| 45 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 17.30 | below cost |
| 45 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 15.98 | below cost |
| 45 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 11.87 | below cost |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 891.00 | 860.00 |
| 46 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 883.00 | 852.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 792.00 | 761.00 |
| 46 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 598.00 | 567.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 568.00 | 537.00 |
| 46 | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 550.00 | 519.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 543.00 | 512.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 491.00 | 460.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 309.00 | 278.00 |
| Total | 37,385.32 | 19,179.92 |