Simulated AIExport
Prior authorization · Post-decision

Appeals

Denied authorizations and where each appeal stands

PreviewNot in this phase. Appeal drafting and tracking for denied authorizations. Static sample data; rows open a read-only detail.
Open appeals
4
1 due this week
Overturned YTD
11 of 16
69%
Avg days to decision
23
internal level 1
Top denial reason
Dosimetry
7 of 16 cite the comparison plan

Denials and appeals

5 rows
PatientPayerSiteDeniedDenial reasonLevelDueStatus
Harold BeckUHC · Choice PlusOropharynx2026-09-02Comparison plan did not report mean parotid doseLevel 1 internal2026-10-02Drafting
Denise OyelaranAetna · Open Access PPORight breast2026-08-21Not medically necessary: right-sided breastLevel 2 internal2026-10-15Submitted
Luis ArroyoCigna · Open Access PlusProstate2026-07-30Considered experimental for prostateExternal (IRO)2026-10-20Awaiting IRO
Joan PruittHumana · Gold Plus HMOLung2026-08-28Performance status not documentedReconsideration2026-10-06Overturned 9/25
Tomasz NowakBCBS TX · Blue Choice PPOEsophagus2026-09-10Insufficient dosimetric comparisonLevel 1 internal2026-10-09P2P requested