Denied Claims
Northside Medical · May 2026 · 24 open denials
Total Denied Value
$0
↑ $42K from last month
Recovery Rate
0%
↑ 4% vs prior quarter
Avg Days to Resolve
0d
↓ 3 days improvement
Appeals Pending
0
2 deadlines this week
Monthly Recovery Trendlast 12 months
Open Denials28 claims
Claim IDPatient / ProcedurePayerValueDeniedReasonStatus
CLM-2024-8847
Sarah Mitchell
Total Knee Replacement
Aetna
$24,500
Apr 28
Medical Necessity
In Appeal
72
CLM-2024-8831
James Okafor
Spinal Fusion L4-L5
UnitedHealthcare
$38,200
Apr 22
Pre-Auth Missing
Denied
88
CLM-2024-8819
Patricia Chen
Hip Arthroplasty
BCBS
$29,100
Apr 15
Bundling/Coding Error
In Review
41
CLM-2024-8804
Robert Torres
Coronary Angioplasty
Cigna
$15,800
Apr 10
Duplicate Claim
In Appeal
55
CLM-2024-8791
Linda Sharma
MRI Lumbar Spine
Humana
$4,200
Apr 7
Not Covered
Recovered
22
CLM-2024-8776
David Kim
Knee Arthroscopy
Aetna
$12,400
Apr 3
Medical Necessity
In Appeal
67
CLM-2024-8762
Angela Brown
Hysterectomy
UnitedHealthcare
$9,800
Mar 28
Timely Filing
Denied
91
CLM-2024-8750
Maria Gonzalez
Cardiac Stress Test
Cigna
$3,800
Mar 25
Medical Necessity
In Review
28
CLM-2024-8741
Thomas Wright
Total Knee Replacement
Medicare
$26,800
Mar 22
Medical Necessity
In Appeal
45
CLM-2024-8733
Jennifer Walsh
Spinal Fusion L3-L4
Aetna
$42,000
Mar 18
Pre-Auth Missing
Denied
85
CLM-2024-8725
Marcus Johnson
Brain MRI with Contrast
BCBS
$5,200
Mar 15
Not Covered
In Review
38
CLM-2024-8718
Priya Patel
Knee Arthroscopy
Humana
$14,800
Mar 12
Bundling/Coding Error
Denied
35
CLM-2024-8710
William Davis
Coronary Angioplasty
UnitedHealthcare
$48,000
Mar 10
Medical Necessity
In Appeal
62
CLM-2024-8701
Susan Park
Hysterectomy
BCBS
$18,500
Mar 8
Medical Necessity
In Review
44
CLM-2024-8695
Carlos Rivera
Total Knee Replacement
Cigna
$25,600
Mar 5
Pre-Auth Missing
Denied
78
CLM-2024-8688
Diane Foster
Cardiac Stress Test
Aetna
$2,800
Mar 2
Medical Necessity
Recovered
19
CLM-2024-8680
Michael Thompson
Spinal Fusion L5-S1
Medicare
$44,500
Mar 1
Medical Necessity
In Appeal
58
CLM-2024-8672
Emily Nakamura
Brain MRI with Contrast
UnitedHealthcare
$5,400
Mar 28
Timely Filing
Denied
82
CLM-2024-8665
Robert Lee
Coronary Angioplasty
Humana
$36,000
Mar 20
Medical Necessity
In Appeal
51
CLM-2024-8658
Rachel Adams
Hysterectomy
Medicaid
$16,200
Mar 18
Not Covered
In Review
33
CLM-2024-8650
Kevin Nguyen
Brain MRI with Contrast
Aetna
$4,800
Apr 1
Pre-Auth Missing
Denied
74
CLM-2024-8642
Amanda Lewis
Cardiac Stress Test
BCBS
$3,600
Mar 30
Bundling/Coding Error
Recovered
15
CLM-2024-8635
Daniel Okonkwo
Knee Arthroscopy
Cigna
$13,500
Apr 5
Medical Necessity
In Appeal
48
CLM-2024-8628
Catherine Yang
Total Knee Replacement
UnitedHealthcare
$27,500
Apr 8
Medical Necessity
Denied
70
CLM-2024-8620
Lisa Washington
Hysterectomy
Aetna
$21,000
Apr 12
Medical Necessity
In Review
56
CLM-2024-8612
Steven Harris
Cardiac Stress Test
Medicare
$2,400
Apr 14
Duplicate Claim
Denied
25
CLM-2024-8605
Nancy Kowalski
Spinal Fusion L4-L5
Humana
$39,500
Apr 18
Medical Necessity
In Appeal
63
CLM-2024-8598
Andrew Campbell
Knee Arthroscopy
BCBS
$11,500
Apr 20
Timely Filing
Written Off
88