CLM-2026-005528
Summit Regional Medical Center, Emergency Medicine. Service 2026-01-27 at emergency room (POS 23). Received 2026-03-09.
Member
Resolved through the identity graph
- Member
- Kelly Gutierrez
- Member ID
- UHC-76846-41
- Date of birth
- 1990-10-16
- Identity
- Verified6 records, confidence 1.00
- Claim record
- CLMCLM-432154
- Relationship
- Child, Las Vegas, NV
Coverage and accumulators
Found by member ID
- Plan
- CORE-HMO HMO group GRP-0927
- Coverage period
- 2023-05-01 to present
- Deductible
- $1,135.05 of $1,500.0076%
- Out-of-pocket maximum
- $677.60 of $4,500.0015%
- Copays
- office $30.00, specialist $75.00, emergency $250.00
- Physical therapy visits
- 9 of 20 used
Provider
Billing and rendering
- Billing provider
- Summit Regional Medical CenterEmergency Medicine · taxonomy 207P00000X
- NPI
- 1269847210
- Network
- In network
- Rendering NPI
- 1269847210
- Location
- Mesa, AZ · TIN 62-8021640
- Authorisation / referral
- none / REF240300
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 | 99284 rev 0450 | Emergency department visit, high severity | — | 1 | 1 | $1,599.00 | $879.45 | $250.00 | $629.45 | Paid |
| 2 | 99285 rev 0450 | Emergency department visit, high severity with threat to life | — | 1 | 1,2 | $2,124.00 | $1,168.20 | $0.00 | $1,168.20 | Paid |
| Totals | $3,723.00 | $2,047.65 | $250.00 | $1,797.65 | ||||||
- 1. J18.9 Pneumonia, unspecified organismprincipal
- 2. R10.9 Unspecified abdominal pain
- 3. S93.401A Sprain of unspecified ligament of right ankle, initial encounter
- Patient account
- PA-371361
- 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-018472 (verified, link confidence 1.00). | |
| Eligibility | Pass | Active on 2026-01-27: CORE-HMO (HMO), effective 2023-05-01. | |
| Timely filing | Pass | Received 41 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 Regional Medical Center (1269847210). | |
| 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: Summit Regional Medical Center2026-01-27 09:29
Follow-up for pneumonia, unspecified organism. Plan discussed, medications reconciled.
Attachments
Documents received with the claim
- Itemized billitemized_PA-371361.pdf3 pages
Itemised statement totalling $3723.00 across 2 lines.
- Er reported_report_PA-371361.pdf3 pages
Emergency department record: triage acuity 4, chief complaint pneumonia, unspecified organism.
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-2026-023302 | 2026-06-02 | Meadow Medical Group | $295.00 | Approved |
| CLM-2026-017752 | 2026-05-07 | Northgate Orthopedic Specialists | $5,767.00 | Approved |
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.