Fictional TRH demo data — no PHI
Harsight VERIFY
← Spend exceptions
TRH demo record · fictionalDenial variancePayer denial variancemedium severitymedium confidence

Timely-filing denials on resubmitted secondary claims.

EX-2011 · opened 2026-06-24 (25d) · Blue Cross and Blue Shield of Texas

$33,000
Recoverable (underpaid)

Three-way match

Recoverable (underpaid)
Contract term
$33,000
Reimbursable per contract
Denial report BX Jun
Invoice / claim line
$0
Denied / not paid
Denial report BX Jun
VERIFY expected
$33,000
Expected reimbursement
VERIFY denial review
Exact variance$33,000

Contractually reimbursable 33000 was denied → 33000 recoverable on appeal.

Baseline figures are illustrative demo values; the variance is the exact recoverable/avoidable amount VERIFY flagged.

Evidence & source

EvidenceDenial report BX Jun
CategoryPayer denial variance
Owner (record)C. Ford
Status (record)Awaiting vendor
Linked agreementStatewide Blue Plan Participation Agreement (AGR-BX-001)
Download evidence (CSV)Download contract (PDF)

Chronology

  1. Flagged by VERIFY
    Denial variance detected against contract evidence: Denial report BX Jun.
    2026-06-24
    done
  2. Assigned for triage
    Routed to C. Ford for review.
    2026-06-24
    done
  3. Current status: Awaiting vendor
    Under active reconciliation with the counterparty.
    2026-06-24
    current
  4. Next: recover / dispute
    Request credit, open a dispute, or accept as expected — demo actions below.
    —
    pending

Resolution workflow

Open
Interactive demo — actions are in-memory only and reset on reload; nothing is written to any store.
of $33,000 flagged

Notes

0

No notes yet.

Other exceptions · Blue Cross and Blue Shield of Texas

2
  • Underpayment
    Outpatient bundling edit applied against fee schedule.
    $88,500
  • Underpayment
    Observation-rate variance on short-stay claims.
    $22,000