Action completed
now
ARDIA HEALTH
Good morning, Alex 👋
7 new denials
need your attention
need your attention
🚨
ARD-2847 — High Priority
United HC CO-50 denial · $1,850 at stake
Today's Numbers
This week
Recovered MTD
$8.4K
↑ +12% today
Win Rate
89%
↑ L1 appeals
Open Claims
23
↑ 7 new today
Avg TAT
34d
↓ 8d faster
Recovery Pipeline ($K)
Last 12 months
Mar 2025
Feb 2026
Recent Claims
See all
Activity
View all
Live Activity
REAL-TIME
Denial Queue
All (23)
Pending (7)
In Review (6)
Won (8)
Denied (2)
Denial Queue
ARD-2847
Sarah M. — Tox CO-50
Pending
Filed Feb 17, 2026
88%
CONFIDENCE
AI Appeal Viability
Strong CO-50 defense identified. LCD L35391 supports medical necessity for opioid monitoring in substance use disorder treatment.
Appeal Viable
5 Citations Found
Evidence Retrieved
LCD
L35391 — Drug Testing, Urine (Palmetto GBA J-M). Supports definitive tox testing for patients with documented SUD diagnosis ICD-10 F11.10.
ASCO
ASCO 2025 Guidelines support quantitative urine drug monitoring for opioid-dependent patients in structured outpatient treatment programs.
PMID
38412847 — Milligan et al. (2025) "Quantitative toxicology in opioid use disorder management: clinical outcomes data." PMID supports G0481 necessity.
EHR
Patient has 6-month documented treatment history in EHR with treating physician order for monthly monitoring. Continuity of care established.
ALJ
ALJ Precedent ALJ-2025-TOX-089 — Similar G0481 CO-50 denial overturned for SUD patient. Applied here as supporting precedent.
Appeal Timeline
Claim Received
EDI 835 parsed · Feb 17, 9:14 AM
AI Analysis Complete
88% confidence · 5 citations · 1.4s
Appeal Draft Ready
Awaiting licensed provider review (SB 1188)
Submit to MAC
Palmetto GBA J-M · Pending approval
Payment Recovery
Est. $1,850 · 30–60 day window
Analytics
$312K
YTD Recovered
89%
Win Rate
47×
Cost Advantage
34d
Avg Recovery
Recovery by Denial Code
CO-50Medical Necessity
$124K
91% win
CO-55Experimental
$87K
87% win
CO-151Freq. Limit
$43K
78% win
CO-197Contractual
$31K
72% win
Monthly Recovery Revenue ($K)
J
F
M
A
M
J
J
A
S
O
N
D
Payer Win Rates
Medicare
148 claims
92%
Aetna
89 claims
87%
United HC
112 claims
84%
BCBS
76 claims
81%
Cigna
54 claims
78%
Notifications
Today
✅
ARD-2845 Approved
Aetna approved appeal · $980 recovered · Posted to PMS
2m ago
🧠
AI Analysis Complete
ARD-2846 analyzed — CO-55 defense · 94% confidence · 5 citations found
6m ago
📥
New Denial Intake
ARD-2847 received from United HC · CO-50 · $1,850 at stake
11m ago
✅
ARD-2844 Approved
Medicare Part B approved $745 · Auto-posted ERA received
28m ago
⚠️
ARD-2842 Denied at L1
Medicare denied Level 1 appeal · Auto-preparing Level 2 QIC packet
1h ago
📋
Proof Packet Generated
ARD-2843 proof packet ready · 6 citations · Awaiting provider review
2h ago
Yesterday
📊
Weekly Report Ready
Feb 10–16: $47,280 recovered · 91.7% win rate · 12 appeals filed
Yesterday, 5:00 PM
⏰
Deadline Alert
ARD-2831 — 14 days remaining for CMS 120-day window · Take action
Yesterday, 9:00 AM
🎉
Milestone Reached
Harmony Tox Lab crossed $1M recovered in 60 days · New record!
Yesterday, 8:45 AM
AC
Alex Carter
Administrator · Harmony Tox Lab
TX SB 1188 Verified
HIPAA Certified
Admin Access
My Performance
142
Appeals Reviewed
4.1m
Avg Review Time
${[
{icon:'⚙️', bg:'rgba(59,130,246,.12)', title:'Account Settings', sub:'Preferences, notifications, security', right:'›'},
{icon:'🔔', bg:'rgba(251,191,36,.12)', title:'Notification Preferences', sub:'Email, push, SMS alerts', right:'›'},
{icon:'🏥', bg:'rgba(45,212,191,.12)', title:'Lab Profile', sub:'Harmony Toxicology Lab · CLIA #45D2087654', right:'›'},
{icon:'🔐', bg:'rgba(167,139,250,.12)', title:'HIPAA Audit Log', sub:'View all AI actions and review events', right:'›'},
{icon:'📄', bg:'rgba(74,222,128,.12)', title:'Billing & Invoices', sub:'Success fees, statements, payments', right:'›'},
{icon:'🤝', bg:'rgba(248,113,113,.12)', title:'Integrations', sub:'EHR, PMS, clearinghouse connections', right:'›'},
].map(r => `
`).join('')}
${r.title}
${r.sub}
${r.right}