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 121d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 838.00 | 807.00 |
| closed 121d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 122d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 25.56 | below cost |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 695.00 | 664.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 178.00 | 147.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 170.12 | 139.12 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 123d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 129d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 153.69 | 122.69 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 867.00 | 836.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 413.00 | 382.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 136d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 89.50 | 58.50 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 137d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 143d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 136.00 | 105.00 |
| closed 143d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 150d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 102.00 | 71.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 246.00 | 215.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 230.00 | 199.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 76.41 | 45.41 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 72.40 | 41.40 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 64.02 | 33.02 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 49.84 | 18.84 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 151d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 157d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 577.00 | 546.00 |
| closed 157d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 164d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 164d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 165d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 342.00 | 311.00 |
| closed 165d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 116.12 | 85.12 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 408.00 | 377.00 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 217.96 | 186.96 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 98.34 | 67.34 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 166d ago | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| closed 171d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 171d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 103.12 | 72.12 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 178d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| Total | 6,269.08 | 5,525.08 |