{
  "mailbox": {
    "email": "natalie.simmons@pathfinder.med",
    "name": "Natalie Simmons"
  },
  "contacts": [
    {
      "email": "david.nguyen@pathfinder.med",
      "name": "David Nguyen"
    },
    {
      "email": "marcus.thompson@pathfinder.med",
      "name": "Marcus Thompson"
    },
    {
      "email": "lauren.patel@pathfinder.med",
      "name": "Lauren Patel"
    },
    {
      "email": "kevin.obrien@pathfinder.med",
      "name": "Kevin O'Brien"
    },
    {
      "email": "amanda.chen@pathfinder.med",
      "name": "Amanda Chen"
    },
    {
      "email": "catherine.lawson@pathfinder.med",
      "name": "Catherine Lawson"
    },
    {
      "email": "appeals@aetna-sim.com",
      "name": "Aetna Appeals Department"
    },
    {
      "email": "appeals@bcbs-sim.com",
      "name": "BCBS Appeals Department"
    },
    {
      "email": "appeals@uhc-sim.com",
      "name": "UHC Appeals Department"
    },
    {
      "email": "appeals@cigna-sim.com",
      "name": "Cigna Appeals Department"
    },
    {
      "email": "appeals@humana-sim.com",
      "name": "Humana Appeals Department"
    }
  ],
  "folders": [],
  "emails": [
    {
      "email_id": "1",
      "folder": "Sent",
      "subject": "Chart Notes Request \u2014 CLM-2026-00001",
      "from_addr": "natalie.simmons@pathfinder.med",
      "to_addr": "david.nguyen@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-06T09:15:00Z",
      "message_id": "<msg001@pathfinder.med>",
      "in_reply_to": null,
      "body_text": "Hi David,\n\nI'm working a CO-50 denial for CLM-2026-00001 (PAT-10342, DOS 03/18/2026, CPT 99214, Dx M54.5). Aetna denied for medical necessity.\n\nCould you send over the operation report or chart notes for this visit? I'll need them to draft the LMN.\n\nThanks,\nNatalie",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": []
    },
    {
      "email_id": "2",
      "folder": "INBOX",
      "subject": "Re: Chart Notes Request \u2014 CLM-2026-00001",
      "from_addr": "david.nguyen@pathfinder.med",
      "to_addr": "natalie.simmons@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-06T11:42:00Z",
      "message_id": "<msg002@pathfinder.med>",
      "in_reply_to": "<msg001@pathfinder.med>",
      "body_text": "Hi Natalie,\n\nAttached are the chart notes for PAT-10342's visit on 03/18. The documentation supports 99214 \u2014 there's a detailed HPI, comprehensive neuro exam, and moderate-complexity MDM with imaging ordered.\n\nLet me know if you need anything else.\n\nDavid",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": [
        {
          "filename": "ChartNotes_PAT-10342_2026-03-18.txt",
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        }
      ]
    },
    {
      "email_id": "3",
      "folder": "Sent",
      "subject": "LMN Approval Request \u2014 CLM-2026-00001",
      "from_addr": "natalie.simmons@pathfinder.med",
      "to_addr": "catherine.lawson@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-07T09:30:00Z",
      "message_id": "<msg003@pathfinder.med>",
      "in_reply_to": null,
      "body_text": "Hi Catherine,\n\nAttached is the Letter of Medical Necessity I've drafted for CLM-2026-00001 (CO-50 denial from Aetna, PAT-10342, CPT 99214, Dx M54.5).\n\nThe chart notes support the level of service \u2014 detailed HPI, positive SLR, radicular symptoms, and moderate-complexity MDM with MRI ordered.\n\nPlease review and let me know if it's approved.\n\nThank you,\nNatalie",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": [
        {
          "filename": "LMN_CLM-2026-00001.txt",
          "content_type": "text/plain",
          "content_base64": "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"
        }
      ]
    },
    {
      "email_id": "4",
      "folder": "INBOX",
      "subject": "Re: LMN Approval Request \u2014 CLM-2026-00001",
      "from_addr": "catherine.lawson@pathfinder.med",
      "to_addr": "natalie.simmons@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-07T14:15:00Z",
      "message_id": "<msg004@pathfinder.med>",
      "in_reply_to": "<msg003@pathfinder.med>",
      "body_text": "Hi Natalie,\n\nI've reviewed the LMN for CLM-2026-00001. It looks good \u2014 the documentation clearly supports medical necessity for the 99214. Approved.\n\nCatherine",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": []
    },
    {
      "email_id": "5",
      "folder": "Sent",
      "subject": "Modifier Verification Request \u2014 CLM-2026-00003",
      "from_addr": "natalie.simmons@pathfinder.med",
      "to_addr": "david.nguyen@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-03T13:45:00Z",
      "message_id": "<msg005@pathfinder.med>",
      "in_reply_to": null,
      "body_text": "Hi David,\n\nI have a modifier denial for CLM-2026-00003 (PAT-10587, PRV-2081, DOS 03/23/2026). BCBS denied the E/M (99213) billed on the same day as a shave biopsy (11102).\n\nCould you review the documentation and confirm whether Modifier 25 or 59 is supported for the E/M service?\n\nThanks,\nNatalie",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": []
    },
    {
      "email_id": "6",
      "folder": "INBOX",
      "subject": "Re: Modifier Verification Request \u2014 CLM-2026-00003",
      "from_addr": "david.nguyen@pathfinder.med",
      "to_addr": "natalie.simmons@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-07T10:20:00Z",
      "message_id": "<msg006@pathfinder.med>",
      "in_reply_to": "<msg005@pathfinder.med>",
      "body_text": "Hi Natalie,\n\nI've reviewed the documentation for CLM-2026-00003. The provider's notes clearly document a separately identifiable E/M service beyond the shave biopsy \u2014 the patient presented with a distinct complaint that required its own evaluation and assessment.\n\nModifier 25 is appropriate here. \n\nDavid",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": []
    },
    {
      "email_id": "7",
      "folder": "Sent",
      "subject": "Patient Contact Needed \u2014 CLM-2026-00004",
      "from_addr": "natalie.simmons@pathfinder.med",
      "to_addr": "marcus.thompson@pathfinder.med",
      "cc_addr": null,
      "bcc_addr": null,
      "date": "2026-04-07T15:40:00Z",
      "message_id": "<msg007@pathfinder.med>",
      "in_reply_to": null,
      "body_text": "Hi Marcus,\n\nI have a CO-27 denial for CLM-2026-00004 (PAT-10891, DOS 03/25/2026). UnitedHealthcare says the patient's coverage was terminated. I checked the eligibility response and their coverage ended 03/14/2026, so the DOS falls outside their active period.\n\nCould you please contact the patient to request updated insurance information or set up a self-pay payment plan?\n\nPlease reply to confirm once you've reached the patient.\n\nThanks,\nNatalie",
      "body_html": null,
      "is_read": true,
      "is_important": false,
      "attachments": []
    }
  ],
  "next_email_id": 8
}