Claims workbench/CLM-2026-009928

Institutional claim · UB-04 · EDI 837I

CLM-2026-009928

Heritage Community Hospital, Emergency Medicine. Service 2025-09-05 at emergency room (POS 23). Received 2026-01-30.

Denied

Billed

$4,570.00

3 lines

Allowed

$2,513.50

if approved

Plan pays

—

Denied

Member owes

—

copay / deductible / 10% coinsurance

Rules engine

Deny

CO29

Decided by

Claims rules engine

2026-10-21 13:43

Member

Resolved through the identity graph

Member: Ryan Duncan
Member ID: UHC-30657-74
Date of birth: 2002-11-20
Identity: Verified6 records, confidence 0.99
Claim record: CLMCLM-407162
Relationship: Self, Plano, TX

Coverage and accumulators

Found by member ID

Plan: CHOICE-PLUS-PPO PPO group GRP-3170
Coverage period: 2021-09-01 to present
Deductible: $341.57 of $1,500.0023%
Out-of-pocket maximum: $2,075.35 of $4,500.0046%
Copays: office $30.00, specialist $60.00, emergency $250.00
Physical therapy visits: 22 of 20 used

Provider

Billing and rendering

Billing provider: Heritage Community Hospital
Emergency Medicine · taxonomy 207P00000X
NPI: 2102151364
Network: In network
Rendering NPI: 2102151364
Location: Tampa, FL · TIN 69-1549407
Authorisation / referral: none / none

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	$2,297.00	$1,263.35	—	—	DeniedCO29
2	99283 rev 0450	Emergency department visit, moderate severity	—	1	2	$819.00	$450.45	—	—	DeniedCO29
3	99284 rev 0450	Emergency department visit, high severity	25	1	2	$1,454.00	$799.70	—	—	DeniedCO29
Totals						$4,570.00	$2,513.50	—	—

Diagnoses (ICD-10-CM)

1. J18.9 Pneumonia, unspecified organismprincipal

Claim header

Patient account: PA-634926
Frequency code: 1 (original)
Accident: No
DRG: —
Admit / discharge: —
Landed: 2026-10-21 13:43

Rules engine

CLAIMS-ADJ v1: 11 checks, 1 needing attention

Check	Result	Code	Detail
Member identity	Pass		Attached to MBR-001461 (verified, link confidence 0.99).
Eligibility	Pass		Active on 2025-09-05: CHOICE-PLUS-PPO (PPO), effective 2021-09-01.
Timely filing	Fail	CO29	Received 147 days after the last date of service (limit 90). Time limit for filing has expired
Duplicate check	Pass		No matching prior claim in the duplicate window.
Prior authorisation	Pass		No line requires precertification.
Provider network	Pass		In-network provider Heritage Community Hospital (2102151364).
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. Hard rule fired: Denied.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Heritage Community Hospital2025-09-05 12:48
Patient seen for pneumonia, unspecified organism.
SystemSystem: Claims system2026-01-30 05:11
Received more than 90 days after the last date of service. Check for a timely-filing waiver before finalising.
AdministrativeExaminer: L. Brooks (Nurse Reviewer, RN)2026-01-30 11:17
Escalated to nurse reviewer for clinical opinion.

Attachments

Documents received with the claim

Itemized billitemized_PA-634926.pdf3 pages
Itemised statement totalling $4570.00 across 3 lines.
Er reported_report_PA-634926.pdf2 pages
Emergency department record: triage acuity 4, chief complaint pneumonia, unspecified organism.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineDenied2026-10-21 13:43
Timely filing: Received 147 days after the last date of service (limit 90).

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-027256	2026-04-16	Heritage Physical Therapy	$140.00	Denied
CLM-2026-007169	2026-03-02	Evergreen Diagnostic Imaging	$3,447.00	Denied
CLM-2026-007168	2026-03-02	Evergreen Diagnostic Imaging	$3,447.00	Approved

AI recommendation

assist mode · apac.amazon.nova-pro-v1:0

A hard rule decided this claim; the AI is advisory here.

Examiner decision

Denied by Claims rules engine; an examiner may still override

Outcome

Approve and pay as pricedAllowed amount, member responsibility and plan payment are applied to every line.DenyNo payment. Reason codes go on the remittance advice and the member's explanation of benefits.Pend for informationHold the claim; a development letter or confirmation is needed before it can be finalised.Refer to special investigationsRoute to the SIU for a fraud, waste and abuse review. No payment until cleared.

Examiner rationale *

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

DeniedCO29scenario: Late filing

Received after the timely-filing limit.

Review queue Member identity