← Spend exceptions
TRH demo record · fictionalDenial variancePayer denial variancehigh severityhigh confidence
Elevated no-authorization denials vs. contract policy.
EX-2002 · opened 2026-06-20 (29d) · UnitedHealthcare
$61,000
Recoverable (underpaid)
Three-way match
Recoverable (underpaid)Contract term
$61,000
Reimbursable per contract
Denial report UHC Jun
Invoice / claim line
$0
Denied / not paid
Denial report UHC Jun
VERIFY expected
$61,000
Expected reimbursement
VERIFY denial review
Exact variance$61,000
Contractually reimbursable 61000 was denied → 61000 recoverable on appeal.
Baseline figures are illustrative demo values; the variance is the exact recoverable/avoidable amount VERIFY flagged.
Evidence & source
EvidenceDenial report UHC Jun
CategoryPayer denial variance
Owner (record)C. Ford
Status (record)Open
Linked agreementCommercial Payer Participation Agreement (AGR-UHC-001)
Chronology
- Flagged by VERIFYDenial variance detected against contract evidence: Denial report UHC Jun.2026-06-20done
- Assigned for triageRouted to C. Ford for review.2026-06-20done
- Current status: OpenUnder active reconciliation with the counterparty.2026-06-20current
- Next: recover / disputeRequest credit, open a dispute, or accept as expected — demo actions below.—pending
Resolution workflow
OpenInteractive demo — actions are in-memory only and reset on reload; nothing is written to any store.
of $61,000 flagged
Notes
0No notes yet.
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