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Brightline Behavioral Health (Sample) · denied claims

$117,820

215 denied claims in total

ClaimPayerCauseService dateDeniedReason
SMP1795UnitedHealthcare Community Plan2026-01-18$1,018B7 — Provider not certified/eligible to be paid for this service on this date
SMP1131Horizon NJ Health2025-08-25$1,011177 — Patient has not met eligibility requirements
SMP1509Horizon NJ Health2025-11-15$1,01116 — Claim lacks information or has submission/billing error
SMP2341Fidelis Care2026-05-26$1,00011 — Diagnosis inconsistent with procedure
SMP1796UnitedHealthcare Community Plan2026-01-06$999B7 — Provider not certified/eligible to be paid for this service on this date
SMP1172UnitedHealthcare Community Plan2025-08-14$99229 — Time limit for filing has expired
SMP1335Fidelis Care2025-09-09$970197 — Precertification/authorization absent
SMP2123Horizon NJ Health2026-04-02$96829 — Time limit for filing has expired
SMP1551UnitedHealthcare Community Plan2025-11-28$968B7 — Provider not certified/eligible to be paid for this service on this date
SMP1652Aetna Better Health2025-12-09$955B7 — Provider not certified/eligible to be paid for this service on this date
SMP1173UnitedHealthcare Community Plan2025-08-23$950177 — Patient has not met eligibility requirements
SMP1186UnitedHealthcare Community Plan2025-08-22$94529 — Time limit for filing has expired
SMP2438UnitedHealthcare Community Plan2026-06-15$940177 — Patient has not met eligibility requirements
SMP1564UnitedHealthcare Community Plan2025-11-14$935B7 — Provider not certified/eligible to be paid for this service on this date
SMP1427UnitedHealthcare Community Plan2025-10-25$935177 — Patient has not met eligibility requirements
SMP2094Amerigroup2026-03-16$934B7 — Provider not certified/eligible to be paid for this service on this date
SMP1790UnitedHealthcare Community Plan2026-01-12$932B7 — Provider not certified/eligible to be paid for this service on this date
SMP1570UnitedHealthcare Community Plan2025-11-10$924B7 — Provider not certified/eligible to be paid for this service on this date
SMP1787UnitedHealthcare Community Plan2026-01-04$921B7 — Provider not certified/eligible to be paid for this service on this date
SMP1568UnitedHealthcare Community Plan2025-11-07$921B7 — Provider not certified/eligible to be paid for this service on this date
SMP1393Horizon NJ Health2025-10-15$917197 — Precertification/authorization absent
SMP1269Aetna Better Health2025-09-13$91229 — Time limit for filing has expired
SMP1773Aetna Better Health2026-01-10$907197 — Precertification/authorization absent
SMP1922UnitedHealthcare Community Plan2026-02-21$904B7 — Provider not certified/eligible to be paid for this service on this date
SMP1682UnitedHealthcare Community Plan2025-12-25$903B7 — Provider not certified/eligible to be paid for this service on this date
SMP1222Amerigroup2025-08-07$902197 — Precertification/authorization absent
SMP1482Horizon NJ Health2025-11-13$90129 — Time limit for filing has expired
SMP1563UnitedHealthcare Community Plan2025-11-28$893177 — Patient has not met eligibility requirements
SMP1086Fidelis Care2025-07-17$89116 — Claim lacks information or has submission/billing error
SMP2494Amerigroup2026-06-09$881198 — Precertification/authorization exceeded
SMP2432UnitedHealthcare Community Plan2026-06-17$867197 — Precertification/authorization absent
SMP1582Fidelis Care2025-11-27$86211 — Diagnosis inconsistent with procedure
SMP1352Amerigroup2025-09-28$862177 — Patient has not met eligibility requirements
SMP1680UnitedHealthcare Community Plan2025-12-05$855B7 — Provider not certified/eligible to be paid for this service on this date
SMP1556UnitedHealthcare Community Plan2025-11-03$848B7 — Provider not certified/eligible to be paid for this service on this date
SMP2072Fidelis Care2026-03-07$832198 — Precertification/authorization exceeded
SMP1548UnitedHealthcare Community Plan2025-11-01$825B7 — Provider not certified/eligible to be paid for this service on this date
SMP2086Fidelis Care2026-03-18$824B7 — Provider not certified/eligible to be paid for this service on this date
SMP2138Horizon NJ Health2026-04-04$812198 — Precertification/authorization exceeded
SMP2119Horizon NJ Health2026-04-07$809177 — Patient has not met eligibility requirements
SMP1666UnitedHealthcare Community Plan2025-12-15$809B7 — Provider not certified/eligible to be paid for this service on this date
SMP1067UnitedHealthcare Community Plan2025-07-27$80222 — Care may be covered by another payer (COB)
SMP1801UnitedHealthcare Community Plan2026-01-02$789B7 — Provider not certified/eligible to be paid for this service on this date
SMP1365Horizon NJ Health2025-10-25$786B7 — Provider not certified/eligible to be paid for this service on this date
SMP1678UnitedHealthcare Community Plan2025-12-13$781B7 — Provider not certified/eligible to be paid for this service on this date
SMP1567UnitedHealthcare Community Plan2025-11-11$774B7 — Provider not certified/eligible to be paid for this service on this date
SMP2204UnitedHealthcare Community Plan2026-04-19$764198 — Precertification/authorization exceeded
SMP1670UnitedHealthcare Community Plan2025-12-25$763B7 — Provider not certified/eligible to be paid for this service on this date
SMP1270Aetna Better Health2025-09-08$75916 — Claim lacks information or has submission/billing error
SMP2374Horizon NJ Health2026-06-28$75827 — Expenses incurred after coverage terminated
SMP2062Fidelis Care2026-03-07$758177 — Patient has not met eligibility requirements
SMP2022Aetna Better Health2026-03-20$749197 — Precertification/authorization absent
SMP1130Horizon NJ Health2025-08-21$74822 — Care may be covered by another payer (COB)
SMP1544UnitedHealthcare Community Plan2025-11-08$747B7 — Provider not certified/eligible to be paid for this service on this date
SMP1786UnitedHealthcare Community Plan2026-01-10$741B7 — Provider not certified/eligible to be paid for this service on this date
SMP1785UnitedHealthcare Community Plan2026-01-16$739B7 — Provider not certified/eligible to be paid for this service on this date
SMP2371Horizon NJ Health2026-06-03$73916 — Claim lacks information or has submission/billing error
SMP2202UnitedHealthcare Community Plan2026-04-01$73616 — Claim lacks information or has submission/billing error
SMP1550UnitedHealthcare Community Plan2025-11-22$735B7 — Provider not certified/eligible to be paid for this service on this date
SMP1060UnitedHealthcare Community Plan2025-07-03$73429 — Time limit for filing has expired
SMP1431UnitedHealthcare Community Plan2025-10-11$728197 — Precertification/authorization absent
SMP1254Horizon NJ Health2025-09-20$721177 — Patient has not met eligibility requirements
SMP1260Horizon NJ Health2025-09-21$717177 — Patient has not met eligibility requirements
SMP2065Fidelis Care2026-03-02$712198 — Precertification/authorization exceeded
SMP1156Aetna Better Health2025-08-17$70316 — Claim lacks information or has submission/billing error
SMP1677UnitedHealthcare Community Plan2025-12-10$69816 — Claim lacks information or has submission/billing error
SMP2174Aetna Better Health2026-04-27$697198 — Precertification/authorization exceeded
SMP2470Fidelis Care2026-06-11$69511 — Diagnosis inconsistent with procedure
SMP1904UnitedHealthcare Community Plan2026-02-20$693B7 — Provider not certified/eligible to be paid for this service on this date
SMP1732Horizon NJ Health2026-01-21$68929 — Time limit for filing has expired
SMP2395Aetna Better Health2026-06-04$688198 — Precertification/authorization exceeded
SMP1433UnitedHealthcare Community Plan2025-10-26$684197 — Precertification/authorization absent
SMP1936Fidelis Care2026-02-02$684177 — Patient has not met eligibility requirements
SMP1664UnitedHealthcare Community Plan2025-12-22$683B7 — Provider not certified/eligible to be paid for this service on this date
SMP1559UnitedHealthcare Community Plan2025-11-10$674B7 — Provider not certified/eligible to be paid for this service on this date
SMP1716Amerigroup2025-12-22$670197 — Precertification/authorization absent
SMP1918UnitedHealthcare Community Plan2026-02-19$665B7 — Provider not certified/eligible to be paid for this service on this date
SMP1162Aetna Better Health2025-08-13$657197 — Precertification/authorization absent
SMP1907UnitedHealthcare Community Plan2026-02-28$656B7 — Provider not certified/eligible to be paid for this service on this date
SMP1561UnitedHealthcare Community Plan2025-11-17$65516 — Claim lacks information or has submission/billing error
SMP1756Horizon NJ Health2026-01-17$65216 — Claim lacks information or has submission/billing error
SMP2453UnitedHealthcare Community Plan2026-06-08$651197 — Precertification/authorization absent
SMP1557UnitedHealthcare Community Plan2025-11-15$650B7 — Provider not certified/eligible to be paid for this service on this date
SMP1028Horizon NJ Health2025-07-01$65016 — Claim lacks information or has submission/billing error
SMP1905UnitedHealthcare Community Plan2026-02-11$645B7 — Provider not certified/eligible to be paid for this service on this date
SMP1754Horizon NJ Health2026-01-02$640198 — Precertification/authorization exceeded
SMP1667UnitedHealthcare Community Plan2025-12-07$639B7 — Provider not certified/eligible to be paid for this service on this date
SMP2421Aetna Better Health2026-06-15$63822 — Care may be covered by another payer (COB)
SMP2122Horizon NJ Health2026-04-04$632198 — Precertification/authorization exceeded
SMP1133Horizon NJ Health2025-08-24$63018 — Exact duplicate claim/service
SMP1545UnitedHealthcare Community Plan2025-11-07$624B7 — Provider not certified/eligible to be paid for this service on this date
SMP1594Amerigroup2025-11-18$623197 — Precertification/authorization absent
SMP1671UnitedHealthcare Community Plan2025-12-16$621B7 — Provider not certified/eligible to be paid for this service on this date
SMP1684Fidelis Care2025-12-12$621197 — Precertification/authorization absent
SMP1757Horizon NJ Health2026-01-09$619197 — Precertification/authorization absent
SMP2475Fidelis Care2026-06-09$617197 — Precertification/authorization absent
SMP1911UnitedHealthcare Community Plan2026-02-09$61716 — Claim lacks information or has submission/billing error
SMP2051UnitedHealthcare Community Plan2026-03-14$61629 — Time limit for filing has expired
SMP2053UnitedHealthcare Community Plan2026-03-28$613197 — Precertification/authorization absent
SMP1797UnitedHealthcare Community Plan2026-01-08$609B7 — Provider not certified/eligible to be paid for this service on this date
SMP2270Horizon NJ Health2026-05-20$60327 — Expenses incurred after coverage terminated
SMP1164Aetna Better Health2025-08-03$598197 — Precertification/authorization absent
SMP1205Fidelis Care2025-08-11$59822 — Care may be covered by another payer (COB)
SMP1338Fidelis Care2025-09-01$59727 — Expenses incurred after coverage terminated
SMP2016Aetna Better Health2026-03-02$594177 — Patient has not met eligibility requirements
SMP1920UnitedHealthcare Community Plan2026-02-28$590B7 — Provider not certified/eligible to be paid for this service on this date
SMP2258Horizon NJ Health2026-05-06$590177 — Patient has not met eligibility requirements
SMP1791UnitedHealthcare Community Plan2026-01-09$582B7 — Provider not certified/eligible to be paid for this service on this date
SMP1799UnitedHealthcare Community Plan2026-01-25$581B7 — Provider not certified/eligible to be paid for this service on this date
SMP1752Horizon NJ Health2026-01-27$58116 — Claim lacks information or has submission/billing error
SMP1847Horizon NJ Health2026-02-05$580177 — Patient has not met eligibility requirements
SMP2121Horizon NJ Health2026-04-20$57822 — Care may be covered by another payer (COB)
SMP2464Fidelis Care2026-06-18$571197 — Precertification/authorization absent
SMP1560UnitedHealthcare Community Plan2025-11-27$562B7 — Provider not certified/eligible to be paid for this service on this date
SMP1203Fidelis Care2025-08-23$55818 — Exact duplicate claim/service
SMP1646Aetna Better Health2025-12-11$55396 — Non-covered charge(s)
SMP2456Fidelis Care2026-06-19$53029 — Time limit for filing has expired
SMP2190UnitedHealthcare Community Plan2026-04-25$523B7 — Provider not certified/eligible to be paid for this service on this date
SMP2184UnitedHealthcare Community Plan2026-04-16$52018 — Exact duplicate claim/service
SMP1906UnitedHealthcare Community Plan2026-02-27$515B7 — Provider not certified/eligible to be paid for this service on this date
SMP1793UnitedHealthcare Community Plan2026-01-14$506B7 — Provider not certified/eligible to be paid for this service on this date
SMP1555UnitedHealthcare Community Plan2025-11-28$504B7 — Provider not certified/eligible to be paid for this service on this date
SMP1912UnitedHealthcare Community Plan2026-02-01$500B7 — Provider not certified/eligible to be paid for this service on this date
SMP1921UnitedHealthcare Community Plan2026-02-15$498B7 — Provider not certified/eligible to be paid for this service on this date
SMP1783UnitedHealthcare Community Plan2026-01-19$492B7 — Provider not certified/eligible to be paid for this service on this date
SMP2334Fidelis Care2026-05-12$48829 — Time limit for filing has expired
SMP1681UnitedHealthcare Community Plan2025-12-24$475B7 — Provider not certified/eligible to be paid for this service on this date
SMP1919UnitedHealthcare Community Plan2026-02-15$468B7 — Provider not certified/eligible to be paid for this service on this date
SMP1769Aetna Better Health2026-01-02$458177 — Patient has not met eligibility requirements
SMP1206Fidelis Care2025-08-09$452177 — Patient has not met eligibility requirements
SMP2487Amerigroup2026-06-11$446177 — Patient has not met eligibility requirements
SMP1868Horizon NJ Health2026-02-28$443B7 — Provider not certified/eligible to be paid for this service on this date
SMP1789UnitedHealthcare Community Plan2026-01-14$441B7 — Provider not certified/eligible to be paid for this service on this date
SMP2260Horizon NJ Health2026-05-06$43327 — Expenses incurred after coverage terminated
SMP1768Aetna Better Health2026-01-14$430177 — Patient has not met eligibility requirements
SMP1554UnitedHealthcare Community Plan2025-11-24$417B7 — Provider not certified/eligible to be paid for this service on this date
SMP1274Aetna Better Health2025-09-19$41029 — Time limit for filing has expired
SMP2445UnitedHealthcare Community Plan2026-06-28$40329 — Time limit for filing has expired
SMP2304UnitedHealthcare Community Plan2026-05-19$395197 — Precertification/authorization absent
SMP2322Fidelis Care2026-05-26$39329 — Time limit for filing has expired
SMP1725Amerigroup2025-12-02$39296 — Non-covered charge(s)
SMP1722Amerigroup2025-12-02$374197 — Precertification/authorization absent
SMP1910UnitedHealthcare Community Plan2026-02-23$37116 — Claim lacks information or has submission/billing error
SMP1547UnitedHealthcare Community Plan2025-11-19$368B7 — Provider not certified/eligible to be paid for this service on this date
SMP1792UnitedHealthcare Community Plan2026-01-04$36716 — Claim lacks information or has submission/billing error
SMP1923UnitedHealthcare Community Plan2026-02-09$367B7 — Provider not certified/eligible to be paid for this service on this date
SMP2247Horizon NJ Health2026-05-15$36618 — Exact duplicate claim/service
SMP1672UnitedHealthcare Community Plan2025-12-14$362B7 — Provider not certified/eligible to be paid for this service on this date
SMP1925UnitedHealthcare Community Plan2026-02-01$360B7 — Provider not certified/eligible to be paid for this service on this date
SMP2386Horizon NJ Health2026-06-08$357197 — Precertification/authorization absent
SMP1553UnitedHealthcare Community Plan2025-11-14$355B7 — Provider not certified/eligible to be paid for this service on this date
SMP2066Fidelis Care2026-03-24$34727 — Expenses incurred after coverage terminated
SMP2061Fidelis Care2026-03-06$344197 — Precertification/authorization absent
SMP1379Horizon NJ Health2025-10-10$34118 — Exact duplicate claim/service
SMP1704Fidelis Care2025-12-08$33916 — Claim lacks information or has submission/billing error
SMP2010Aetna Better Health2026-03-04$33796 — Non-covered charge(s)
SMP2344Amerigroup2026-05-07$33516 — Claim lacks information or has submission/billing error
SMP2441UnitedHealthcare Community Plan2026-06-18$33327 — Expenses incurred after coverage terminated
SMP2252Horizon NJ Health2026-05-12$324B7 — Provider not certified/eligible to be paid for this service on this date
SMP1675UnitedHealthcare Community Plan2025-12-15$323B7 — Provider not certified/eligible to be paid for this service on this date
SMP1862Horizon NJ Health2026-02-04$32222 — Care may be covered by another payer (COB)
SMP1909UnitedHealthcare Community Plan2026-02-26$318B7 — Provider not certified/eligible to be paid for this service on this date
SMP1727Amerigroup2025-12-27$31422 — Care may be covered by another payer (COB)
SMP1466Amerigroup2025-10-07$312B7 — Provider not certified/eligible to be paid for this service on this date
SMP1241Horizon NJ Health2025-09-27$310197 — Precertification/authorization absent
SMP1778Aetna Better Health2026-01-02$31018 — Exact duplicate claim/service
SMP1917UnitedHealthcare Community Plan2026-02-19$308B7 — Provider not certified/eligible to be paid for this service on this date
SMP1669UnitedHealthcare Community Plan2025-12-02$307B7 — Provider not certified/eligible to be paid for this service on this date
SMP1700Fidelis Care2025-12-10$289197 — Precertification/authorization absent
SMP1049Aetna Better Health2025-07-22$274197 — Precertification/authorization absent
SMP1320UnitedHealthcare Community Plan2025-09-12$27116 — Claim lacks information or has submission/billing error
SMP1247Horizon NJ Health2025-09-15$265197 — Precertification/authorization absent
SMP2473Fidelis Care2026-06-28$25727 — Expenses incurred after coverage terminated
SMP1958Amerigroup2026-02-28$256197 — Precertification/authorization absent
SMP2311UnitedHealthcare Community Plan2026-05-09$25527 — Expenses incurred after coverage terminated
SMP1802UnitedHealthcare Community Plan2026-01-27$254B7 — Provider not certified/eligible to be paid for this service on this date
SMP2152Aetna Better Health2026-04-07$25327 — Expenses incurred after coverage terminated
SMP1263Horizon NJ Health2025-09-05$251177 — Patient has not met eligibility requirements
SMP1363Horizon NJ Health2025-10-28$24711 — Diagnosis inconsistent with procedure
SMP1558UnitedHealthcare Community Plan2025-11-18$245B7 — Provider not certified/eligible to be paid for this service on this date
SMP1189UnitedHealthcare Community Plan2025-08-03$23996 — Non-covered charge(s)
SMP2437UnitedHealthcare Community Plan2026-06-05$23896 — Non-covered charge(s)
SMP1127Horizon NJ Health2025-08-07$23729 — Time limit for filing has expired
SMP1800UnitedHealthcare Community Plan2026-01-24$234B7 — Provider not certified/eligible to be paid for this service on this date
SMP1805UnitedHealthcare Community Plan2026-01-06$230B7 — Provider not certified/eligible to be paid for this service on this date
SMP2363Horizon NJ Health2026-06-01$225177 — Patient has not met eligibility requirements
SMP2050UnitedHealthcare Community Plan2026-03-18$22329 — Time limit for filing has expired
SMP1584Fidelis Care2025-11-03$22316 — Claim lacks information or has submission/billing error
SMP2424UnitedHealthcare Community Plan2026-06-06$21829 — Time limit for filing has expired
SMP1552UnitedHealthcare Community Plan2025-11-15$214B7 — Provider not certified/eligible to be paid for this service on this date
SMP1908UnitedHealthcare Community Plan2026-02-22$209B7 — Provider not certified/eligible to be paid for this service on this date
SMP1549UnitedHealthcare Community Plan2025-11-25$207B7 — Provider not certified/eligible to be paid for this service on this date
SMP2312UnitedHealthcare Community Plan2026-05-13$205B7 — Provider not certified/eligible to be paid for this service on this date
SMP1499Horizon NJ Health2025-11-13$205197 — Precertification/authorization absent
SMP1720Amerigroup2025-12-16$198198 — Precertification/authorization exceeded
SMP1740Horizon NJ Health2026-01-20$197B7 — Provider not certified/eligible to be paid for this service on this date
SMP1924UnitedHealthcare Community Plan2026-02-05$194B7 — Provider not certified/eligible to be paid for this service on this date
SMP1674UnitedHealthcare Community Plan2025-12-20$183B7 — Provider not certified/eligible to be paid for this service on this date
SMP1120Horizon NJ Health2025-08-20$18216 — Claim lacks information or has submission/billing error
SMP1855Horizon NJ Health2026-02-10$17718 — Exact duplicate claim/service
SMP1380Horizon NJ Health2025-10-05$17116 — Claim lacks information or has submission/billing error
SMP2084Fidelis Care2026-03-02$17111 — Diagnosis inconsistent with procedure
SMP1867Horizon NJ Health2026-02-23$17029 — Time limit for filing has expired
SMP1915UnitedHealthcare Community Plan2026-02-09$170B7 — Provider not certified/eligible to be paid for this service on this date
SMP1033Aetna Better Health2025-07-06$17018 — Exact duplicate claim/service
SMP1673UnitedHealthcare Community Plan2025-12-15$169B7 — Provider not certified/eligible to be paid for this service on this date
SMP2237Amerigroup2026-04-26$16122 — Care may be covered by another payer (COB)
SMP2090Amerigroup2026-03-13$16129 — Time limit for filing has expired
SMP1980Horizon NJ Health2026-03-12$14616 — Claim lacks information or has submission/billing error
SMP1803UnitedHealthcare Community Plan2026-01-06$13516 — Claim lacks information or has submission/billing error
SMP1794UnitedHealthcare Community Plan2026-01-14$126B7 — Provider not certified/eligible to be paid for this service on this date
SMP1668UnitedHealthcare Community Plan2025-12-02$126B7 — Provider not certified/eligible to be paid for this service on this date
SMP1596Amerigroup2025-11-11$12516 — Claim lacks information or has submission/billing error
SMP1188UnitedHealthcare Community Plan2025-08-05$12411 — Diagnosis inconsistent with procedure
SMP2457Fidelis Care2026-06-28$123197 — Precertification/authorization absent