Fictional TRH demo data — no PHI
Harsight VERIFY
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REV-CLM-3202

DenialAssignedFictional TRH demo — synthetic claim id · no PHI

Aetna · Emergency · APC 5023 (Level 3 ED)

Expected-vs-paid calculation
Expected (contract allowed)
$980
Paid (remittance)
$0
Variance
$980
Rate basis: Level 3 allowed $980
Contract term: Aetna §5 Clean-claim standard
Denial / adjustment reason: CO-16 missing/invalid modifier

Ownership & confidence

Owner
M. Duran
Confidence
69 / 100
Claim age
19 days
Recovery action
Correct modifier and resubmit within clean-claim window.

Evidence provenance

Evidence
Aetna 835 denial batch B · line 33
Linked payer
Aetna

Recovery workflow

Demo action — resets on reload · not persisted

Chronology & session activity

  • seed2026-06-24 — REV-CLM-3202 surfaced by VERIFY expected-vs-paid rule from the 835/837 batch extract · FY2026 Q3 (Apr–Jun 2026).
  • seed2026-06-24 — Contract term matched; expected allowed amount recomputed from loaded rate basis.