Professional claim · CMS-1500 · Provider portal
CLM-2026-007886
Cornerstone Bone and Joint Center, Orthopedic Surgery. Service 2026-08-25 at office (POS 11). Received 2026-09-26.
Approved
Billed
$210.00
1 line
Allowed
$130.20
contract rate applied
Plan pays
$90.20
approved
Member owes
$40.00
copay / deductible / 30% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-21 13:43
Member
Resolved through the identity graph
- Member
- Olivia Peterson
- Member ID
- UHC-82814-76
- Date of birth
- 1981-08-21
- Identity
- Verified3 records, confidence 0.96
- Claim record
- CLMCLM-401892
- Relationship
- Self, Phoenix, AZ
Coverage and accumulators
Found by member ID
- Plan
- NAVIGATE-HMO HMO group GRP-6770
- Coverage period
- 2024-08-01 to present
- Deductible
- $38.98 of $2,500.002%
- Out-of-pocket maximum
- $4,631.96 of $10,000.0046%
- Copays
- office $25.00, specialist $40.00, emergency $350.00
- Physical therapy visits
- 10 of 20 used
Provider
Billing and rendering
- Billing provider
- Cornerstone Bone and Joint CenterOrthopedic Surgery · taxonomy 207X00000X
- NPI
- 7661667833
- Network
- In network
- Rendering NPI
- 7799276465
- Location
- Tempe, AZ · TIN 28-0381608
- Authorisation / referral
- none / REF465613
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 | 99213 | Office visit, established patient, low complexity | — | 1 | 1 | $210.00 | $130.20 | $40.00 | $90.20 | Paid |
| Totals | $210.00 | $130.20 | $40.00 | $90.20 | ||||||
Diagnoses (ICD-10-CM)
- 1. M25.561 Pain in right kneeprincipal
- 2. M54.50 Low back pain, unspecified
- 3. M17.12 Unilateral primary osteoarthritis, left knee
Claim header
- Patient account
- PA-864872
- 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-022723 (verified, link confidence 0.96). | |
| Eligibility | Pass | Active on 2026-08-25: NAVIGATE-HMO (HMO), effective 2024-08-01. | |
| Timely filing | Pass | Received 32 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 Cornerstone Bone and Joint Center (7661667833). | |
| 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: Cornerstone Bone and Joint Center2026-08-25 10:36
Patient seen for pain in right knee.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$210.00
Plan discount
$79.80
contracted rate
Plan paid
$90.20
You may owe
$40.00
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-2026-034227 | 2026-06-14 | Canyon Diagnostic Imaging | $598.00 | Approved |
| CLM-2026-030588 | 2026-02-22 | Unity Medical Group | $335.00 | Approved |
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.