Professional claim · CMS-1500 · EDI 837P
CLM-2026-011032
Lakeside Medical Group, Family Medicine. Service 2026-01-12 at office (POS 11). Received 2026-02-22.
ApprovedOut of network
Billed
$289.00
2 lines
Allowed
$130.05
contract rate applied
Plan pays
$110.05
approved
Member owes
$20.00
copay / deductible / 10% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-22 12:44
Member
Resolved through the identity graph
- Member
- Wayne Anderson
- Member ID
- UHC-02479-04
- Date of birth
- 1962-01-16
- Identity
- Verified3 records, confidence 0.99
- Claim record
- CLMCLM-400300
- Relationship
- Self, Denver, CO
Coverage and accumulators
Found by member ID
- Plan
- N/A PPO group -
- Coverage period
- 2025-09-01 to present
- Deductible
- $2,080.91 of $2,500.0083%
- Out-of-pocket maximum
- $2,235.10 of $5,000.0045%
- Copays
- office $20.00, specialist $60.00, emergency $350.00
- Physical therapy visits
- 7 of 20 used
Provider
Billing and rendering
- Billing provider
- Lakeside Medical GroupFamily Medicine · taxonomy 207Q00000X
- NPI
- 3004199154
- Network
- Out of network
- Rendering NPI
- 3090702747
- Location
- Atlanta, GA · TIN 59-2183874
- 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 | 99395 | Preventive visit, 18-39 years | — | 1 | 1 | $256.00 | $115.20 | $20.00 | $95.20 | Paid |
| 2 | 90471 | Immunization administration | — | 1 | 1,2 | $33.00 | $14.85 | $0.00 | $14.85 | Paid |
| Totals | $289.00 | $130.05 | $20.00 | $110.05 | ||||||
Diagnoses (ICD-10-CM)
- 1. E11.9 Type 2 diabetes mellitus without complicationsprincipal
- 2. J06.9 Acute upper respiratory infection, unspecified
Claim header
- Patient account
- PA-372378
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-22 12:44
Rules engine
CLAIMS-ADJ v1: 11 checks, 1 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-015088 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-01-12: N/A (PPO), effective 2025-09-01. | |
| 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 | Note | Out-of-network provider; priced at the out-of-network allowance, balance billing may apply. | |
| 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: Lakeside Medical Group2026-01-12 10:45
Patient seen for type 2 diabetes mellitus without complications.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$289.00
Plan discount
$158.95
out-of-network allowance
Plan paid
$110.05
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 12:44Provider network: Out-of-network provider; priced at the out-of-network allowance, balance billing may apply.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-028497 | 2026-05-08 | Riverside Medical Group | $242.00 | Approved |
| CLM-2026-021786 | 2026-01-20 | Sunrise GI Associates | $296.00 | 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.