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
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL601.00570.00
5927ELIGIBILITYAccess RelatedCASCADE CARE599.00568.00
59109COBAccess RelatedCASCADE CARE597.00566.00
5911CODINGHISCASCADE CARE592.00561.00
5916BILLING_ERRORBilling RelatedCASCADE CARE589.00558.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE589.00558.00
5927ELIGIBILITYAccess RelatedCASCADE CARE585.00554.00
5927ELIGIBILITYAccess RelatedCASCADE CARE577.00546.00
5927ELIGIBILITYAccess RelatedCASCADE CARE549.00518.00
5926ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL547.00516.00
5950MEDICAL_NECESSITYUtilizationCASCADE CARE541.00510.00
59109COBAccess RelatedCASCADE CARE519.00488.00
5927ELIGIBILITYAccess RelatedCASCADE CARE518.00487.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL515.00484.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL507.00476.00
5927ELIGIBILITYAccess RelatedCASCADE CARE507.00476.00
5927ELIGIBILITYAccess RelatedCASCADE CARE491.00460.00
5927ELIGIBILITYAccess RelatedCASCADE CARE465.00434.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL453.00422.00
5927ELIGIBILITYAccess RelatedCASCADE CARE449.00418.00
5927ELIGIBILITYAccess RelatedCASCADE CARE448.00417.00
5927ELIGIBILITYAccess RelatedCASCADE CARE431.00400.00
5927ELIGIBILITYAccess RelatedCASCADE CARE424.00393.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL422.00391.00
5911CODINGHISCASCADE CARE413.00382.00
5927ELIGIBILITYAccess RelatedCASCADE CARE410.00379.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL403.00372.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE396.00365.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL386.77355.77
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL379.00348.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL365.00334.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL338.00307.00
5927ELIGIBILITYAccess RelatedCASCADE CARE335.00304.00
5927ELIGIBILITYAccess RelatedCASCADE CARE325.00294.00
59109COBAccess RelatedNORTHSTAR MUTUAL324.00293.00
5927ELIGIBILITYAccess RelatedCASCADE CARE321.00290.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL319.00288.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL316.16285.16
5916BILLING_ERRORBilling RelatedNORTHSTAR MUTUAL295.84264.84
5927ELIGIBILITYAccess RelatedCASCADE CARE294.00263.00
5927ELIGIBILITYAccess RelatedCASCADE CARE290.00259.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL278.01247.01
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL277.00246.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL274.00243.00
5927ELIGIBILITYAccess RelatedCASCADE CARE273.00242.00
5926ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL272.35241.35
5927ELIGIBILITYAccess RelatedCASCADE CARE267.00236.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE263.00232.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL216.00185.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE203.51172.51
5927ELIGIBILITYAccess RelatedCASCADE CARE198.00167.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE197.00166.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE192.00161.00
5927ELIGIBILITYAccess RelatedCASCADE CARE188.00157.00
5916BILLING_ERRORBilling RelatedCASCADE CARE164.00133.00
5927ELIGIBILITYAccess RelatedCASCADE CARE162.00131.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE154.00123.00
5911CODINGHISNORTHSTAR MUTUAL140.00109.00
5950MEDICAL_NECESSITYUtilizationCASCADE CARE136.00105.00
5916BILLING_ERRORBilling RelatedCASCADE CARE129.0098.00
59197AUTHORIZATIONAccess RelatedCASCADE CARE122.1991.19
59197AUTHORIZATIONAccess RelatedCASCADE CARE121.3390.33
5927ELIGIBILITYAccess RelatedCASCADE CARE117.0086.00
5927ELIGIBILITYAccess RelatedNORTHSTAR MUTUAL115.8284.82
5927ELIGIBILITYAccess RelatedCASCADE CARE108.5577.55
5926ELIGIBILITYAccess RelatedCASCADE CARE81.0050.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL80.9749.97
59109COBAccess RelatedCASCADE CARE80.0049.00
59197AUTHORIZATIONAccess RelatedNORTHSTAR MUTUAL74.0043.00
5927ELIGIBILITYAccess RelatedCASCADE CARE65.4534.45
5916BILLING_ERRORBilling RelatedCASCADE CARE55.1024.10
5950MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
5996NON_COVEREDUtilizationCASCADE CARE0.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL183.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL889.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL183.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL722.000.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL279.020.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL837.000.00
5996NON_COVEREDUtilizationCASCADE CARE541.000.00
5950MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE188.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL564.000.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL0.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL227.880.00
5996NON_COVEREDUtilizationCASCADE CARE0.000.00
5950MEDICAL_NECESSITYUtilizationCASCADE CARE0.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL292.380.00
5996NON_COVEREDUtilizationCASCADE CARE0.000.00
5918DUPLICATEBilling RelatedCASCADE CARE836.000.00
5996NON_COVEREDUtilizationCASCADE CARE717.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL776.000.00
5996NON_COVEREDUtilizationNORTHSTAR MUTUAL396.000.00
5918DUPLICATEBilling RelatedNORTHSTAR MUTUAL79.000.00
5929TIMELY_FILINGBilling RelatedNORTHSTAR MUTUAL633.000.00
5918DUPLICATEBilling RelatedCASCADE CARE128.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE440.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE80.470.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE105.000.00
5929TIMELY_FILINGBilling RelatedCASCADE CARE194.230.00
Total32,722.0321,230.05