Claims workbench/CLM-2026-001294

Institutional claim · UB-04 · Provider portal

CLM-2026-001294

Cornerstone Orthopedic Specialists, Orthopedic Surgery. Service 2026-05-01 at outpatient hospital (POS 22). Received 2026-05-07.

DeniedOut of network

Billed

$6,049.00

1 line

Allowed

$2,722.05

if approved

Plan pays

—

Denied

Member owes

—

copay / deductible / 20% coinsurance

Rules engine

Deny

CO204

Decided by

Claims rules engine

2026-10-22 12:44

Member

Resolved through the identity graph

Member: Mei George
Member ID: UHC-37000-03
Date of birth: 1943-12-07
Identity: Provisional1 records, confidence 1.00
Claim record: CLMCLM-417886
Relationship: Spouse, Miami, FL

Coverage and accumulators

Found by member ID

Plan: CORE-HMO HMO group GRP-2076
Coverage period: 2021-10-01 to present
Deductible: $14.69 of $500.003%
Out-of-pocket maximum: $715.90 of $1,500.0048%
Copays: office $40.00, specialist $75.00, emergency $250.00
Physical therapy visits: 7 of 20 used

Provider

Billing and rendering

Billing provider: Cornerstone Orthopedic Specialists
Orthopedic Surgery · taxonomy 207X00000X
NPI: 7007014674
Network: Out of network
Rendering NPI: 1993914336
Location: San Diego, CA · TIN 68-2977448
Authorisation / referral: PA2025679896 / REF721219

Service lines

UB-04: procedures, modifiers, units, charges and the pricing outcome per line

Line	Code	Description	Mod.	Units	Dx	Billed	Allowed	Member	Plan	Line status
1	29881 rev 0360	Knee arthroscopy with meniscectomy	—	1	1	$6,049.00	$2,722.05	—	—	DeniedCO204
Totals						$6,049.00	$2,722.05	—	—

Diagnoses (ICD-10-CM)

1. M17.11 Unilateral primary osteoarthritis, right kneeprincipal

Claim header

Patient account: PA-193917
Frequency code: 1 (original)
Accident: No
DRG: —
Admit / discharge: —
Landed: 2026-10-22 12:44

Rules engine

CLAIMS-ADJ v1: 11 checks, 2 needing attention

Check	Result	Code	Detail
Member identity	Pass		Attached to MBR-029059 (provisional, link confidence 1.00).
Eligibility	Pass		Active on 2026-05-01: CORE-HMO (HMO), effective 2021-10-01.
Timely filing	Pass		Received 6 days after service (limit 90).
Duplicate check	Review	DUP	Same member, date of service and procedures as CLM-2026-001293, billed by a different provider. Possible duplicate
Prior authorisation	Pass		Authorisation PA2025679896 on file for 29881.
Provider network	Fail	CO204	Billing provider 7007014674 is out of network and the HMO plan has no out-of-network benefit. Service not covered under the member's plan
Medical necessity	Pass		Diagnosis supports the procedures billed.
Bundling (NCCI)	Pass		No bundling conflicts.
Benefit limits	Pass		No limited benefit on this claim.
Completeness	Pass		Required documentation present.
High-dollar review	Pass		Within the auto-adjudication ceiling.

Evaluated 2026-10-22 12:44 under policy version 1. Hard rule fired: Denied.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Cornerstone Orthopedic Specialists2026-05-01 11:27
Patient seen for unilateral primary osteoarthritis, right knee. Patient was seen earlier the same day by another provider for an unrelated complaint.
SystemSystem: Claims system2026-05-07 05:25
Edit 018 fired on a different billing provider for the same date of service. Needs review before release.
AdministrativeExaminer: T. Nguyen (Senior Claims Examiner)2026-05-07 13:51
Reviewed with the member's history on file. Holding for the items listed above.

Attachments

Documents received with the claim

Prior auth letterPA2025679896_approval.pdf2 pages
Utilisation management approval letter for 29881 (Knee arthroscopy with meniscectomy), valid 2026-05-01 to 2026-07-30.
Itemized billitemized_PA-193917.pdf7 pages
Itemised statement totalling $6049.00 across 1 line.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineDenied2026-10-22 12:44
Duplicate check: Same member, date of service and procedures as CLM-2026-001293, billed by a different provider. Provider network: Billing provider 7007014674 is out of network and the HMO plan has no out-of-network benefit.

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-001293	2026-05-01	Cornerstone Bone and Joint Center	$6,049.00	Approved

AI recommendation

assist mode · apac.amazon.nova-pro-v1:0

A hard rule decided this claim; the AI is advisory here.

Examiner decision

Denied by Claims rules engine; an examiner may still override

Outcome

Approve and pay as pricedAllowed amount, member responsibility and plan payment are applied to every line.DenyNo payment. Reason codes go on the remittance advice and the member's explanation of benefits.Pend for informationHold the claim; a development letter or confirmation is needed before it can be finalised.Refer to special investigationsRoute to the SIU for a fraud, waste and abuse review. No payment until cleared.

Examiner rationale *

At least 8 characters (0/8)

ExaminerR. Patel (Claims Examiner II)

Choose an outcome

Evaluation truth

Hidden label from the synthetic generator; never shown to the model

Approvedscenario: Possible duplicate

Different billing provider; separately payable.

Review queue Member identity