Professional claim · CMS-1500 · EDI 837P
CLM-2026-014075
Desert Medical Group, Family Medicine. Service 2026-09-22 at office (POS 11). Received 2026-10-13.
Approved
Billed
$202.00
2 lines
Allowed
$125.24
contract rate applied
Plan pays
$100.24
approved
Member owes
$25.00
copay / deductible / 20% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-22 12:44
Member
Resolved through the identity graph
- Member
- Anthony Morales
- Member ID
- UHC-83692-92
- Date of birth
- 1982-03-14
- Identity
- Provisional1 records, confidence 1.00
- Claim record
- CLMCLM-406618
- Relationship
- Self, Gilbert, AZ
Coverage and accumulators
Found by member ID
- Plan
- NULL PPO group GRP-8136
- Coverage period
- 2022-05-01 to present
- Deductible
- $395.44 of $1,500.0026%
- Out-of-pocket maximum
- $1,581.26 of $6,000.0026%
- Copays
- office $25.00, specialist $75.00, emergency $350.00
- Physical therapy visits
- 0 of 20 used
Provider
Billing and rendering
- Billing provider
- Desert Medical GroupFamily Medicine · taxonomy 207Q00000X
- NPI
- 6663550666
- Network
- In network
- Rendering NPI
- 5879790520
- Location
- Mesa, AZ · TIN 39-6249973
- 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 | 99203 | Office visit, new patient, low complexity | — | 1 | 1 | $180.00 | $111.60 | $25.00 | $86.60 | Paid |
| 2 | 36415 | Venipuncture | — | 1 | 1 | $22.00 | $13.64 | $0.00 | $13.64 | Paid |
| Totals | $202.00 | $125.24 | $25.00 | $100.24 | ||||||
Diagnoses (ICD-10-CM)
- 1. E11.9 Type 2 diabetes mellitus without complicationsprincipal
- 2. J06.9 Acute upper respiratory infection, unspecified
- 3. Z00.00 Encounter for general adult medical examination without abnormal findings
Claim header
- Patient account
- PA-959290
- 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-046393 (provisional, link confidence 1.00). | |
| Eligibility | Pass | Active on 2026-09-22: NULL (PPO), effective 2022-05-01. | |
| Timely filing | Pass | Received 21 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 Desert Medical Group (6663550666). | |
| 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: Desert Medical Group2026-09-22 11:22
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
$202.00
Plan discount
$76.76
contracted rate
Plan paid
$100.24
You may owe
$25.00
copay, deductible and coinsurance
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
No other claims.
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.