CLM-2026-005087
Harbor Regional Medical Center, Emergency Medicine. Service 2026-08-19 at emergency room (POS 23). Received 2026-09-04.
Member
Resolved through the identity graph
- Member
- Ann Gilbert
- Member ID
- UHC-20636-06
- Date of birth
- 2004-10-07
- Identity
- Verified6 records, confidence 0.99
- Claim record
- CLMCLM-403168
- Relationship
- Self, Chandler, AZ
Coverage and accumulators
Found by member ID
- Plan
- NAVIGATE-HMO HMO group GRP-9106
- Coverage period
- 2024-07-01 to present
- Deductible
- $220.45 of $500.0044%
- Out-of-pocket maximum
- $76.67 of $1,500.005%
- Copays
- office $40.00, specialist $75.00, emergency $250.00
- Physical therapy visits
- 3 of 20 used
Provider
Billing and rendering
- Billing provider
- Harbor Regional Medical CenterEmergency Medicine · taxonomy 207P00000X
- NPI
- 9303939968
- Network
- In network
- Rendering NPI
- 9303939968
- Location
- Tempe, AZ · TIN 60-9523328
- Authorisation / referral
- none / REF729683
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 | 99285 rev 0450 | Emergency department visit, high severity with threat to life | — | 1 | 1 | $2,502.00 | $1,376.10 | $250.00 | $1,126.10 | Paid |
| Totals | $2,502.00 | $1,376.10 | $250.00 | $1,126.10 | ||||||
- 1. R07.9 Chest pain, unspecifiedprincipal
- 2. R10.9 Unspecified abdominal pain
- 3. R55 Syncope and collapse
- Patient account
- PA-685635
- 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-004007 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-08-19: NAVIGATE-HMO (HMO), effective 2024-07-01. | |
| Timely filing | Pass | Received 16 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 Harbor Regional Medical Center (9303939968). | |
| 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. |
Notes
Provider, system and examiner notes on this claim
- ClinicalProvider: Harbor Regional Medical Center2026-08-19 13:21
Follow-up for chest pain, unspecified. Plan discussed, medications reconciled.
Attachments
Documents received with the claim
- Itemized billitemized_PA-685635.pdf9 pages
Itemised statement totalling $2502.00 across 1 line.
- Er reported_report_PA-685635.pdf6 pages
Emergency department record: triage acuity 3, chief complaint chest pain, unspecified.
Explanation of benefits
What the member will see
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-2026-007752 | 2026-07-20 | Desert Internal Medicine Associates | $410.00 | Approved |
| CLM-2026-017537 | 2026-07-02 | Lakeside Behavioral Health | $228.00 | Denied |
| CLM-2026-028201 | 2026-07-25 | Sunrise Dermatology Clinic | $474.00 | Denied |
| CLM-2026-018593 | 2026-06-17 | Unity Internal Medicine Associates | $318.00 | Denied |
AI recommendation
assist mode · apac.amazon.nova-pro-v1:0
Examiner decision
Approved by Claims rules engine; an examiner may still override
Evaluation truth
Hidden label from the synthetic generator; never shown to the model
Clean claim, priced at contract rate.