DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.

Denial worklist

Open appeal windows first, nearest deadline first, then the money; closed windows follow, most recently closed first.

Appeal windowCARCRoot causeOwns the fixPayerDeniedNet
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN264.00233.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN239.00208.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN231.00200.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN202.00171.00
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN174.00143.00
4611CODINGHISMERIDIAN HEALTH PLAN147.00116.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN143.00112.00
4626ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN126.8995.89
4616BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN104.0073.00
4627ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN75.1344.13
4611CODINGHISMERIDIAN HEALTH PLAN62.0031.00
46197AUTHORIZATIONAccess RelatedMERIDIAN HEALTH PLAN31.670.67
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN646.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN747.000.00
4696NON_COVEREDUtilizationMERIDIAN HEALTH PLAN602.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN232.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN152.000.00
4618DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN300.360.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN112.640.00
4650MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN122.000.00
4650MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN0.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN796.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN265.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN392.000.00
4629TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN521.000.00
4618DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN63.000.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN843.00812.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN721.00690.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN697.00666.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN684.00653.00
5311CODINGHISMERIDIAN HEALTH PLAN425.00394.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN421.00390.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN400.00369.00
5350MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN394.00363.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN350.00319.00
5326ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN314.18283.18
5350MEDICAL_NECESSITYUtilizationMERIDIAN HEALTH PLAN298.53267.53
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN245.00214.00
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN235.88204.88
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN175.77144.77
53109COBAccess RelatedMERIDIAN HEALTH PLAN131.15100.15
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN82.0051.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN66.0035.00
5396NON_COVEREDUtilizationMERIDIAN HEALTH PLAN426.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN233.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN650.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN694.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN574.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN504.000.00
5396NON_COVEREDUtilizationMERIDIAN HEALTH PLAN171.720.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN128.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN148.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN421.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN277.000.00
5396NON_COVEREDUtilizationMERIDIAN HEALTH PLAN0.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN256.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN449.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN341.910.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN186.000.00
5318DUPLICATEBilling RelatedMERIDIAN HEALTH PLAN483.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN816.000.00
5396NON_COVEREDUtilizationMERIDIAN HEALTH PLAN883.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN132.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN716.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN895.000.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN220.110.00
5329TIMELY_FILINGBilling RelatedMERIDIAN HEALTH PLAN326.000.00
5316BILLING_ERRORBilling RelatedMERIDIAN HEALTH PLAN22.01below cost
5327ELIGIBILITYAccess RelatedMERIDIAN HEALTH PLAN12.83below cost
5927ELIGIBILITYAccess RelatedCASCADE CARE895.00864.00
5927ELIGIBILITYAccess RelatedCASCADE CARE892.00861.00
5911CODINGHISCASCADE CARE879.00848.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL860.00829.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL857.00826.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL843.00812.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE838.00807.00
5911CODINGHISCASCADE CARE817.00786.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL815.00784.00
5916BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL813.00782.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL811.00780.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL774.00743.00
5926ELIGIBILITYAccess RelatedCASCADE CARE772.00741.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL771.00740.00
5927ELIGIBILITYAccess RelatedCASCADE CARE752.00721.00
59109COBAccess RelatedCASCADE CARE750.00719.00
5927ELIGIBILITYAccess RelatedCASCADE CARE711.00680.00
5911CODINGHISNORTHSTAR MUTUAL705.00674.00
5911CODINGHISCASCADE CARE701.00670.00
5916BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL687.00656.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL646.00615.00
5916BILLING_ERRORBilling RelatedCASCADE CARE642.00611.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL625.00594.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL620.00589.00
5927ELIGIBILITYAccess RelatedCASCADE CARE619.00588.00
5927ELIGIBILITYAccess RelatedCASCADE CARE616.00585.00
5911CODINGHISNORTHSTAR MUTUAL616.00585.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL613.00582.00
5926ELIGIBILITYAccess RelatedCASCADE CARE606.00575.00
5927ELIGIBILITYAccess RelatedCASCADE CARE604.00573.00
Total45,349.7828,577.04