Professional claim · CMS-1500 · Paper
CLM-2026-004513
Desert Medical Group, Internal Medicine. Service 2026-01-10 at office (POS 11). Received 2026-01-13.
Approved
Billed
$335.00
2 lines
Allowed
$207.70
contract rate applied
Plan pays
$182.70
approved
Member owes
$25.00
copay / deductible / 20% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-21 13:43
Member
Resolved through the identity graph
- Member
- Michelle Elliott
- Member ID
- UHC-58397-47
- Date of birth
- 1945-01-28
- Identity
- Verified4 records, confidence 0.99
- Claim record
- CLMCLM-424183
- Relationship
- Spouse, Fresno, CA
Coverage and accumulators
Found by member ID
- Plan
- CHOICE-PLUS-PPO PPO group GRP-5806
- Coverage period
- 2022-02-01 to present
- Deductible
- $814.66 of $3,500.0023%
- Out-of-pocket maximum
- $4,589.66 of $10,500.0044%
- Copays
- office $25.00, specialist $75.00, emergency $250.00
- Physical therapy visits
- 15 of 20 used
Provider
Billing and rendering
- Billing provider
- Desert Medical GroupInternal Medicine · taxonomy 207R00000X
- NPI
- 4556045621
- Network
- In network
- Rendering NPI
- 4671116570
- Location
- Scottsdale, AZ · TIN 56-2756422
- Authorisation / referral
- none / none
Service lines
CMS-1500: procedures, modifiers, units, charges and the pricing outcome per line
| Line | Code | Description | Mod. | Units | Dx | Billed | Allowed | Member | Plan | Line status |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 99214 | Office visit, established patient, moderate complexity | — | 1 | 1 | $249.00 | $154.38 | $25.00 | $129.38 | Paid |
| 2 | 93000 | Electrocardiogram with interpretation | — | 1 | 1 | $86.00 | $53.32 | $0.00 | $53.32 | Paid |
| Totals | $335.00 | $207.70 | $25.00 | $182.70 | ||||||
Diagnoses (ICD-10-CM)
- 1. I48.91 Unspecified atrial fibrillationprincipal
Claim header
- Patient account
- PA-693044
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-21 13:43
Rules engine
CLAIMS-ADJ v1: 11 checks, 0 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-003892 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-01-10: UNKNOWN (PPO), effective 2022-02-01. | |
| Timely filing | Pass | Received 3 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 Desert Medical Group (4556045621). | |
| 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 2026-10-21 13:43 under policy version 1. Clean claim: approved and priced automatically.
Notes
Provider, system and examiner notes on this claim
- ClinicalProvider: Desert Medical Group2026-01-10 16:59
Patient seen for unspecified atrial fibrillation.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$335.00
Plan discount
$127.30
contracted rate
Plan paid
$182.70
You may owe
$25.00
copay, deductible and coinsurance
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-21 13:43Clean claim.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-021397 | 2026-09-06 | Desert Medical Group | $490.00 | Approved |
| CLM-2026-026841 | 2025-12-21 | Riverside Bone and Joint Center | $51,733.00 | Needs review |
| CLM-2026-004514 | 2026-01-10 | Desert Medical Group | $335.00 | Needs review |
| CLM-2026-026840 | 2025-12-21 | Riverside Orthopedic Specialists | $51,733.00 | Needs review |
AI recommendation
assist mode · apac.amazon.nova-pro-v1:0
Clean claim: the rules engine approved it, so no AI review was needed.
Examiner decision
Approved by Claims rules engine; an examiner may still override
Outcome
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: Clean
Clean claim, priced at contract rate.