CO-50 · Med necessity · Palmetto GBA · Claim #TX-2026-00441
CO-55 · Experimental · Palmetto GBA · Claim #TX-2026-00438
CO-55 · Not medically necessary · Claim #TX-2026-00436
CO-151 · Frequency exceeded · Claim #TX-2026-00431
CO-97 · Bundled service · Claim #TX-2026-00428
| Claim # | CPT / Description | Denial Code | Amount | AI Confidence | Status | Action |
|---|---|---|---|---|---|---|
| TX-2026-00441 | G0480 · 4-Drug Tox Confirmation Palmetto GBA · LCD L35006 | CO-50 | $3,840 | 98% | Drafting | File Appeal |
| TX-2026-00438 | G0483 · Tox Confirmation (22+ drugs) Palmetto GBA · LCD L35007 | CO-55 | $2,100 | 94% | Filed | View Brief |
| TX-2026-00436 | 81401 · PGx Panel (CYP2D6/CYP2C19) Palmetto GBA · CPIC guidelines | CO-55 | $1,920 | 91% | In Review | File Appeal |
| TX-2026-00431 | G0481 · Quantitative Drug Monitoring Palmetto GBA · Medical necessity | CO-151 | $890 | 96% | Won · $890 | Receipt |
| TX-2026-00428 | G0659 · Qualitative Drug Screening Palmetto GBA · Bundled claim | CO-97 | $720 | 82% | Drafting | File Appeal |