CLM-2026-013592
Summit Primary Care Associates, Family Medicine. Service 2026-03-02 at office (POS 11). Received 2026-03-16.
Member
Resolved through the identity graph
- Member
- Dixon Camila
- Member ID
- UHC-81895-02
- Date of birth
- 1981-03-08
- Identity
- Verified2 records, confidence 0.99
- Claim record
- CLMCLM-420292
- Relationship
- Self, San Diego, CA
Coverage and accumulators
Found by member ID
- Plan
- N/A PPO group GRP-9530
- Coverage period
- 2025-05-01 to present
- Deductible
- $2,684.32 of $3,500.0077%
- Out-of-pocket maximum
- $1,468.73 of $10,500.0014%
- Copays
- office $40.00, specialist $75.00, emergency $250.00
- Physical therapy visits
- 12 of 20 used
Provider
Billing and rendering
- Billing provider
- Summit Primary Care AssociatesFamily Medicine · taxonomy 207Q00000X
- NPI
- 1481685224
- Network
- In network
- Rendering NPI
- 9882433144
- Location
- Denver, CO · TIN 20-1905659
- 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 | $247.00 | $153.14 | $40.00 | $113.14 | Paid |
| 2 | 36415 | Venipuncture | 25 | 1 | 1 | $15.00 | $9.30 | $0.00 | $9.30 | Paid |
| 3 | 99213 | Office visit, established patient, low complexity | — | 1 | 1,2 | $174.00 | $107.88 | $0.00 | $107.88 | Paid |
| Totals | $436.00 | $270.32 | $40.00 | $230.32 | ||||||
- 1. E11.9 Type 2 diabetes mellitus without complicationsprincipal
- 2. Z00.00 Encounter for general adult medical examination without abnormal findings
- Patient account
- PA-920452
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-22 12:44
Rules engine
CLAIMS-ADJ v1: 11 checks, 0 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-020111 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-03-02: N/A (PPO), effective 2025-05-01. | |
| Timely filing | Pass | Received 14 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 Primary Care Associates (1481685224). | |
| 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 Primary Care Associates2026-03-02 11:05
Patient seen for type 2 diabetes mellitus without complications.
Attachments
Documents received with the claim
Explanation of benefits
What the member will see
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-22 12:44Clean claim.
Other claims for this member
Same resolved identity
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.