Claims workbench/CLM-2026-011783

Institutional claim · UB-04 · Paper

CLM-2026-011783

Sunrise Imaging Center, Radiology. Service 2025-10-04 at outpatient hospital (POS 22). Received 2026-05-01.

Denied

Billed

$3,238.00

3 lines

Allowed

$1,780.90

if approved

Plan pays

—

Denied

Member owes

—

copay / deductible / 20% coinsurance

Rules engine

Deny

CO29

Decided by

Claims rules engine

2026-10-22 12:44

Member

Resolved through the identity graph

Member: Shirley Reyes
Member ID: UHC-10284-93
Date of birth: 1940-05-17
Identity: Verified5 records, confidence 0.96
Claim record: CLMCLM-428613
Relationship: Self, Orlando, FL

Coverage and accumulators

Found by member ID

Plan: CORE-HMO HMO group GRP-8096
Coverage period: 2025-05-01 to present
Deductible: $25.94 of $500.005%
Out-of-pocket maximum: $480.26 of $1,000.0048%
Copays: office $30.00, specialist $50.00, emergency $250.00
Physical therapy visits: 20 of 20 used

Provider

Billing and rendering

Billing provider: Sunrise Imaging Center
Radiology · taxonomy 2085R0202X
NPI: 9418627425
Network: In network
Rendering NPI: 9418627425
Location: Mesa, AZ · TIN 78-4773350
Authorisation / referral: PA2025446688 / REF106635

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	77067 rev 0403	Screening mammography, bilateral	—	1	1	$305.00	$167.75	—	—	DeniedCO29
2	74177 rev 0350	CT abdomen and pelvis with contrast	—	1	1,2	$2,399.00	$1,319.45	—	—	DeniedCO29
3	76700 rev 0402	Ultrasound abdomen, complete	—	1	1,2	$534.00	$293.70	—	—	DeniedCO29
Totals						$3,238.00	$1,780.90	—	—

Diagnoses (ICD-10-CM)

1. M25.561 Pain in right kneeprincipal
2. R07.9 Chest pain, unspecified
3. R51.9 Headache, unspecified

Claim header

Patient account: PA-923967
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-003799 (verified, link confidence 0.96).
Eligibility	Pass		Active on 2025-10-04: CORE-HMO (HMO), effective 2025-05-01.
Timely filing	Fail	CO29	Received 209 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		Authorisation PA2025446688 on file for 74177.
Provider network	Pass		In-network provider Sunrise Imaging Center (9418627425).
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. Hard rule fired: Denied.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Sunrise Imaging Center2025-10-04 14:20
Established patient presents with pain in right knee; symptoms reviewed and vitals within expected range.
SystemSystem: Claims system2026-05-01 00:26
Received more than 90 days after the last date of service. Check for a timely-filing waiver before finalising.

Attachments

Documents received with the claim

Prior auth letterPA2025446688_approval.pdf2 pages
Utilisation management approval letter for 77067 (Screening mammography, bilateral), valid 2025-10-04 to 2026-01-02.
Itemized billitemized_PA-923967.pdf8 pages
Itemised statement totalling $3238.00 across 3 lines.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineDenied2026-10-22 12:44
Timely filing: Received 209 days after the last date of service (limit 90).

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-016448	2026-07-07	Canyon Reference Lab	$60.00	Denied
CLM-2026-033039	2026-04-13	Evergreen Family Practice	$485.00	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