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 |
|---|---|---|---|---|---|---|
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 601.00 | 570.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 599.00 | 568.00 |
| 59 | 109 | COB | Access Related | CASCADE CARE | 597.00 | 566.00 |
| 59 | 11 | CODING | HIS | CASCADE CARE | 592.00 | 561.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 589.00 | 558.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 589.00 | 558.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 585.00 | 554.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 577.00 | 546.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 549.00 | 518.00 |
| 59 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 547.00 | 516.00 |
| 59 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 541.00 | 510.00 |
| 59 | 109 | COB | Access Related | CASCADE CARE | 519.00 | 488.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 518.00 | 487.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 515.00 | 484.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 507.00 | 476.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 507.00 | 476.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 491.00 | 460.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 465.00 | 434.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 453.00 | 422.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 449.00 | 418.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 448.00 | 417.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 431.00 | 400.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 424.00 | 393.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 422.00 | 391.00 |
| 59 | 11 | CODING | HIS | CASCADE CARE | 413.00 | 382.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 410.00 | 379.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 403.00 | 372.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 396.00 | 365.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 386.77 | 355.77 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 379.00 | 348.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 365.00 | 334.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 338.00 | 307.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 335.00 | 304.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 325.00 | 294.00 |
| 59 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 324.00 | 293.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 321.00 | 290.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 319.00 | 288.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 316.16 | 285.16 |
| 59 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 295.84 | 264.84 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 294.00 | 263.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 290.00 | 259.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 278.01 | 247.01 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 277.00 | 246.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 274.00 | 243.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 273.00 | 242.00 |
| 59 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 272.35 | 241.35 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 267.00 | 236.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 263.00 | 232.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 216.00 | 185.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 203.51 | 172.51 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 198.00 | 167.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 197.00 | 166.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 192.00 | 161.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 188.00 | 157.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 164.00 | 133.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 162.00 | 131.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 154.00 | 123.00 |
| 59 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 140.00 | 109.00 |
| 59 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 136.00 | 105.00 |
| 59 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 129.00 | 98.00 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 122.19 | 91.19 |
| 59 | 197 | AUTHORIZATION | Access Related | CASCADE CARE | 121.33 | 90.33 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 117.00 | 86.00 |
| 59 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 115.82 | 84.82 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 108.55 | 77.55 |
| 59 | 26 | ELIGIBILITY | Access Related | CASCADE CARE | 81.00 | 50.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 80.97 | 49.97 |
| 59 | 109 | COB | Access Related | CASCADE CARE | 80.00 | 49.00 |
| 59 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 74.00 | 43.00 |
| 59 | 27 | ELIGIBILITY | Access Related | CASCADE CARE | 65.45 | 34.45 |
| 59 | 16 | BILLING_ERROR | Billing Related | CASCADE CARE | 55.10 | 24.10 |
| 59 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 183.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 889.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 183.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 722.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 279.02 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 837.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | CASCADE CARE | 541.00 | 0.00 |
| 59 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 188.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 564.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 227.88 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 50 | MEDICAL_NECESSITY | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 292.38 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | CASCADE CARE | 0.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 836.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | CASCADE CARE | 717.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 776.00 | 0.00 |
| 59 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 396.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 79.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 633.00 | 0.00 |
| 59 | 18 | DUPLICATE | Billing Related | CASCADE CARE | 128.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 440.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 80.47 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 105.00 | 0.00 |
| 59 | 29 | TIMELY_FILING | Billing Related | CASCADE CARE | 194.23 | 0.00 |
| Total | 32,722.03 | 21,230.05 |