Denial worklist
Ordered by urgency: the closest deadline first, then the money.
root cause MEDICAL_NECESSITY×
| Appeal window | CARC | Root cause | Owns the fix | Payer | Denied | Net |
|---|---|---|---|---|---|---|
| closed 829d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 780d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 551.00 | 520.00 |
| closed 767d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 323.73 | 292.73 |
| closed 759d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 753d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 739d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 154.00 | 123.00 |
| closed 738d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 731d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 717d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 711d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 710d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 541.00 | 510.00 |
| closed 703d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 339.92 | 308.92 |
| closed 703d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 697d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 683d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 669d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 203.19 | 172.19 |
| closed 669d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 669d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 668d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 57.20 | 26.20 |
| closed 655d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 809.00 | 778.00 |
| closed 654d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 612.00 | 581.00 |
| closed 654d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 654d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 641d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 640d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 607.00 | 576.00 |
| closed 640d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 188.23 | 157.23 |
| closed 640d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 633d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 55.27 | 24.27 |
| closed 633d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 627d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 627d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 627d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 22.06 | below cost |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 298.61 | 267.61 |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 114.67 | 83.67 |
| closed 619d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 613d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 605d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 859.00 | 828.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 599d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 598d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 207.06 | 176.06 |
| closed 585d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 460.00 | 429.00 |
| closed 585d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 584d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| closed 577d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 289.00 | 258.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 181.14 | 150.14 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 571d ago | 50 | MEDICAL_NECESSITY | Utilization | NORTHSTAR MUTUAL | 0.00 | 0.00 |
| closed 570d ago | 50 | MEDICAL_NECESSITY | Utilization | MERIDIAN HEALTH PLAN | 0.00 | 0.00 |
| Total | 6,873.08 | 6,253.08 |