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 |
|---|---|---|---|---|---|---|
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 264.00 | 233.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 239.00 | 208.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 231.00 | 200.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 202.00 | 171.00 |
| 46 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 174.00 | 143.00 |
| 46 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 147.00 | 116.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 143.00 | 112.00 |
| 46 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 126.89 | 95.89 |
| 46 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 104.00 | 73.00 |
| 46 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 75.13 | 44.13 |
| 46 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 62.00 | 31.00 |
| 46 | 197 | AUTHORIZATION | Access Related | MERIDIAN HEALTH PLAN | 31.67 | 0.67 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 646.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 747.00 | 0.00 |
| 46 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 602.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 232.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 152.00 | 0.00 |
| 46 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 300.36 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 112.64 | 0.00 |
| 46 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 122.00 | 0.00 |
| 46 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 796.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 265.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 392.00 | 0.00 |
| 46 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 521.00 | 0.00 |
| 46 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 63.00 | 0.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 843.00 | 812.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 721.00 | 690.00 |
| 53 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 697.00 | 666.00 |
| 53 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 684.00 | 653.00 |
| 53 | 11 | CODING | HIS | MERIDIAN HEALTH PLAN | 425.00 | 394.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 421.00 | 390.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 400.00 | 369.00 |
| 53 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 394.00 | 363.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 350.00 | 319.00 |
| 53 | 26 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 314.18 | 283.18 |
| 53 | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 298.53 | 267.53 |
| 53 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 245.00 | 214.00 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 235.88 | 204.88 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 175.77 | 144.77 |
| 53 | 109 | COB | Access Related | MERIDIAN HEALTH PLAN | 131.15 | 100.15 |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 82.00 | 51.00 |
| 53 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 66.00 | 35.00 |
| 53 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 426.00 | 0.00 |
| 53 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 233.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 650.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 694.00 | 0.00 |
| 53 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 574.00 | 0.00 |
| 53 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 504.00 | 0.00 |
| 53 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 171.72 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 128.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 148.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 421.00 | 0.00 |
| 53 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 277.00 | 0.00 |
| 53 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 256.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 449.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 341.91 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 186.00 | 0.00 |
| 53 | 18 | DUPLICATE | Billing Related | MERIDIAN HEALTH PLAN | 483.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 816.00 | 0.00 |
| 53 | 96 | NON_COVERED | Utilization | MERIDIAN HEALTH PLAN | 883.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 132.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 716.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 895.00 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 220.11 | 0.00 |
| 53 | 29 | TIMELY_FILING | Billing Related | MERIDIAN HEALTH PLAN | 326.00 | 0.00 |
| 53 | 16 | BILLING_ERROR | Billing Related | MERIDIAN HEALTH PLAN | 22.01 | below cost |
| 53 | 27 | ELIGIBILITY | Access Related | MERIDIAN HEALTH PLAN | 12.83 | below cost |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 895.00 | 864.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 892.00 | 861.00 |
| 59 | 11 | CODING | HIS | CASCADE CARE | 879.00 | 848.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 860.00 | 829.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 857.00 | 826.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 843.00 | 812.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 838.00 | 807.00 |
| 59 | 11 | CODING | HIS | CASCADE CARE | 817.00 | 786.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 815.00 | 784.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 813.00 | 782.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 811.00 | 780.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 774.00 | 743.00 |
| 59 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 772.00 | 741.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 771.00 | 740.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 752.00 | 721.00 |
| 59 | 109 | COB | Access Related | CASCADE CARE | 750.00 | 719.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 711.00 | 680.00 |
| 59 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 705.00 | 674.00 |
| 59 | 11 | CODING | HIS | CASCADE CARE | 701.00 | 670.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 687.00 | 656.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 646.00 | 615.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 642.00 | 611.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 625.00 | 594.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 620.00 | 589.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 619.00 | 588.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 616.00 | 585.00 |
| 59 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 616.00 | 585.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 613.00 | 582.00 |
| 59 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 606.00 | 575.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 604.00 | 573.00 |
| Total | 45,349.78 | 28,577.04 |