Claims workbench/CLM-2026-001378

Institutional claim · UB-04 · Provider portal

CLM-2026-001378

Summit Community Hospital, Emergency Medicine. Service 2026-05-15 at emergency room (POS 23). Received 2026-06-15.

Needs review

Billed

$380.00

2 lines

Allowed

$209.00

if approved

Plan pays

—

Needs review

Member owes

—

copay / deductible / 20% coinsurance

Rules engine

Review

CO97

Decided by

Nobody yet

open

Member

Resolved through the identity graph

Member: Virginia Burton
Member ID: none on golden record
Date of birth: 1994-09-10
Identity: Verified3 records, confidence 0.99
Claim record: CLMCLM-423637
Relationship: Self, Miami, FL

Coverage and accumulators

Found by name and date of birth

Plan: OPTIONS-PPO PPO group GRP-6318
Coverage period: 2023-08-01 to present
Deductible: $563.86 of $3,500.0016%
Out-of-pocket maximum: $2,767.90 of $7,000.0040%
Copays: office $20.00, specialist $50.00, emergency $250.00
Physical therapy visits: 7 of 20 used

Provider

Billing and rendering

Billing provider: Summit Community Hospital
Emergency Medicine · taxonomy 207P00000X
NPI: 7504049959
Network: In network
Rendering NPI: 7504049959
Location: Austin, TX · TIN 97-1362073
Authorisation / referral: none / none

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	96374 rev 0260	IV push, single drug	59	1	1	$154.00	$84.70	—	—	Review
2	71046 rev 0320	Chest X-ray, two views	59	1	1	$226.00	$124.30	—	—	Review
Totals						$380.00	$209.00	—	—

Diagnoses (ICD-10-CM)

1. S93.401A Sprain of unspecified ligament of right ankle, initial encounterprincipal
2. J18.9 Pneumonia, unspecified organism
3. R55 Syncope and collapse

Claim header

Patient account: PA-429108
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-034929 (verified, link confidence 0.99).
Eligibility	Note		Active on 2026-05-15: OPTIONS-PPO (PPO), effective 2023-08-01. Coverage found by name and date of birth because the claim carried no usable member ID.
Timely filing	Pass		Received 31 days after service (limit 90).
Duplicate check	Pass		No matching prior claim in the duplicate window.
Prior authorisation	Pass		No line requires precertification.
Provider network	Pass		In-network provider Summit Community Hospital (7504049959).
Medical necessity	Pass		Diagnosis supports the procedures billed.
Bundling (NCCI)	Review	CO97	Modifier 59 used on a normally bundled code pair; the operative note must document a distinct procedural service. Benefit included in another service already adjudicated
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. Left for review: soft signals only, no hard rule fired.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Summit Community Hospital2026-05-15 11:56
Follow-up for sprain of unspecified ligament of right ankle, initial encounter. Plan discussed, medications reconciled. Both procedures were performed at the same site during the same session as part of one service.
SystemSystem: Claims system2026-06-15 01:59
NCCI edit: modifier 59 used on a code pair that is normally bundled. Operative note requested.
AdministrativeExaminer: T. Nguyen (Senior Claims Examiner)2026-06-15 08:50
Member services inquiry logged on this claim; member asked about the status of payment.

Attachments

Documents received with the claim

Itemized billitemized_PA-429108.pdf9 pages
Itemised statement totalling $380.00 across 2 lines.
Medical recordrecords_PA-429108.pdf19 pages
Operative note describes a single procedure at one site; no separate session.
Er reported_report_PA-429108.pdf4 pages
Emergency department record: triage acuity 4, chief complaint sprain of unspecified ligament of right ankle, initial encounter.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineReview2026-10-22 12:44
Eligibility: Active on 2026-05-15: OPTIONS-PPO (PPO), effective 2023-08-01. Coverage found by name and date of birth because the claim carried no usable member ID. Bundling (NCCI): Modifier 59 used on a normally bundled code pair; the operative note must document a distinct procedural service.

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-019193	2026-05-01	Harbor Physical Therapy	$265.00	Approved

AI recommendation

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

The rules engine left this claim for review. The AI adjudicator can read the evidence pack (lines, notes, attachments, coverage, history) and recommend an outcome with citations.

Examiner decision

Record the final decision; pricing and remittance reasons follow from it

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

DeniedCO97scenario: Unbundling

Bundled code pair; modifier 59 not supported by the operative note.

Review queue Member identity