Professional claim · CMS-1500 · EDI 837P
CLM-2026-004683
Canyon Primary Care Associates, Family Medicine. Service 2026-05-28 at office (POS 11). Received 2026-06-30.
Approved
Billed
$228.00
3 lines
Allowed
$141.36
contract rate applied
Plan pays
$121.36
approved
Member owes
$20.00
copay / deductible / 20% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-22 12:44
Member
Resolved through the identity graph
- Member
- Gloria Dominguez
- Member ID
- UHC-01497-69
- Date of birth
- 1971-02-23
- Identity
- Verified2 records, confidence 1.00
- Claim record
- CLMCLM-423112
- Relationship
- Self, Columbus, OH
Coverage and accumulators
Found by member ID
- Plan
- MEDICARE-ADV-B MA group GRP-4766
- Coverage period
- 2024-05-01 to present
- Deductible
- $365.06 of $500.0073%
- Out-of-pocket maximum
- $852.75 of $2,000.0043%
- Copays
- office $20.00, specialist $40.00, emergency $250.00
- Physical therapy visits
- 8 of 20 used
Provider
Billing and rendering
- Billing provider
- Canyon Primary Care AssociatesFamily Medicine · taxonomy 207Q00000X
- NPI
- 1153672351
- Network
- In network
- Rendering NPI
- 4933080788
- Location
- Nashville, TN · TIN 25-1415527
- 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 | 90471 | Immunization administration | — | 1 | 1 | $42.00 | $26.04 | $20.00 | $6.04 | Paid |
| 2 | 99213 | Office visit, established patient, low complexity | — | 1 | 1 | $167.00 | $103.54 | $0.00 | $103.54 | Paid |
| 3 | 36415 | Venipuncture | 25 | 1 | 1 | $19.00 | $11.78 | $0.00 | $11.78 | Paid |
| Totals | $228.00 | $141.36 | $20.00 | $121.36 | ||||||
Diagnoses (ICD-10-CM)
- 1. M54.50 Low back pain, unspecifiedprincipal
- 2. J06.9 Acute upper respiratory infection, unspecified
- 3. E11.9 Type 2 diabetes mellitus without complications
Claim header
- Patient account
- PA-752058
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-22 12:44
Rules engine
CLAIMS-ADJ v1: 11 checks, 0 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-026997 (verified, link confidence 1.00). | |
| Eligibility | Pass | Active on 2026-05-28: MEDICARE-ADV-B (MA), effective 2024-05-01. | |
| Timely filing | Pass | Received 33 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 Canyon Primary Care Associates (1153672351). | |
| 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. Clean claim: approved and priced automatically.
Notes
Provider, system and examiner notes on this claim
- ClinicalProvider: Canyon Primary Care Associates2026-05-28 12:46
Patient seen for low back pain, unspecified.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$228.00
Plan discount
$86.64
contracted rate
Plan paid
$121.36
You may owe
$20.00
copay, deductible and coinsurance
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-22 12:44Clean claim.
Other claims for this member
Same resolved identity
No other claims.
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.