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 |
|---|---|---|---|---|---|---|
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 485.00 | 454.00 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 463.00 | 432.00 |
| 31 | 109 | COB | Access Related | NORTHSTAR MUTUAL | 460.00 | 429.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 430.00 | 399.00 |
| 31 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 423.68 | 392.68 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 412.00 | 381.00 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 369.00 | 338.00 |
| 31 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 366.00 | 335.00 |
| 31 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 362.00 | 331.00 |
| 31 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 338.04 | 307.04 |
| 31 | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 326.00 | 295.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 314.00 | 283.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 305.00 | 274.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 293.00 | 262.00 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 260.06 | 229.06 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 256.56 | 225.56 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 254.92 | 223.92 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 212.74 | 181.74 |
| 31 | 11 | CODING | HIS | NORTHSTAR MUTUAL | 194.00 | 163.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 188.17 | 157.17 |
| 31 | 26 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 182.56 | 151.56 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 174.00 | 143.00 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 148.25 | 117.25 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 146.00 | 115.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 136.00 | 105.00 |
| 31 | 16 | BILLING_ERROR | Billing Related | NORTHSTAR MUTUAL | 124.55 | 93.55 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 108.00 | 77.00 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 91.12 | 60.12 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 89.00 | 58.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 83.00 | 52.00 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 79.93 | 48.93 |
| 31 | 27 | ELIGIBILITY | Access Related | NORTHSTAR MUTUAL | 73.29 | 42.29 |
| 31 | 197 | AUTHORIZATION | Access Related | NORTHSTAR MUTUAL | 53.19 | 22.19 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 567.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 478.00 | 0.00 |
| 31 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 503.00 | 0.00 |
| 31 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 180.16 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 651.00 | 0.00 |
| 31 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 814.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 353.22 | 0.00 |
| 31 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 800.00 | 0.00 |
| 31 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 760.00 | 0.00 |
| 31 | 29 | TIMELY_FILING | Billing Related | NORTHSTAR MUTUAL | 712.00 | 0.00 |
| 31 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 676.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 457.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 231.00 | 0.00 |
| 31 | 96 | NON_COVERED | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 789.00 | 0.00 |
| 31 | 18 | DUPLICATE | Billing Related | NORTHSTAR MUTUAL | 386.00 | 0.00 |
| Total | 16,559.44 | 7,179.06 |