Denials & Appeals
Total entries
6
Not yet appealed
2
Appeals submitted
2
Won / Lost
1 / 1
Win rate
50%
Recovered from wins
$420.00
Still at risk
$3,783.50
Appeals due in 14 days
0
| Claim # | Payer | Denial code | Reason | Denied ($) | Appeal deadline | Appeal status | Submitted on | Decision date | Recovered ($) | |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-20654 | Medicare Part B | CO-50 | Not medically necessary per LCD L35036 | $2,115.00 | 1970-01-10 | — | — | $0.00 | ||
| CLM-20877 | BCBS PPO | CO-197 | Precertification/authorization absent | $860.50 | 1970-01-31 | 1969-12-27 | — | $0.00 | ||
| CLM-20410 | Aetna Better Health | CO-16 N517 | Claim lacks info — missing modifier 25 on E/M | $420.00 | 1969-12-22 | 1969-11-22 | 1969-12-24 | $420.00 | ||
| CLM-20388 | UnitedHealthcare | CO-29 | Timely filing expired (90-day limit) | $310.00 | 1969-12-12 | 1969-11-12 | 1969-12-17 | $0.00 | ||
| CLM-21002 | Medicare Part B | CO-97 M15 | Bundled — separately billed service included in procedure | $575.00 | 1970-02-15 | — | — | $0.00 | ||
| CLM-20955 | Humana Medicare Advantage | PR-1 | Deductible applied — patient responsibility | $233.00 | 1970-03-02 | 1969-12-30 | — | $0.00 |