Claims workbench/CLM-2026-015805

Institutional claim · UB-04 · EDI 837I

CLM-2026-015805

Mesa Orthopedic Specialists, Orthopedic Surgery. Service 2026-01-15 to 2026-01-18 at inpatient hospital (POS 21). Received 2026-02-23.

Needs review

Billed

$29,318.00

1 line

Allowed

$16,124.90

if approved

Plan pays

—

Needs review

Member owes

—

copay / deductible / 20% coinsurance

Rules engine

Review

CO16, HIGH

Decided by

Nobody yet

open

Member

Resolved through the identity graph

Member: Judith Romero
Member ID: UHC-06958-08
Date of birth: 1951-10-25
Identity: Verified6 records, confidence 0.99
Claim record: CLMCLM-423506
Relationship: Self, Charlotte, NC

Coverage and accumulators

Found by member ID

Plan: CORE-HMO HMO group GRP-3194
Coverage period: 2023-11-01 to present
Deductible: $622.08 of $1,000.0062%
Out-of-pocket maximum: $693.32 of $2,000.0035%
Copays: office $25.00, specialist $60.00, emergency $250.00
Physical therapy visits: 10 of 20 used

Provider

Billing and rendering

Billing provider: Mesa Orthopedic Specialists
Orthopedic Surgery · taxonomy 207X00000X
NPI: 6714461483
Network: In network
Rendering NPI: 4738260510
Location: Austin, TX · TIN 30-9158288
Authorisation / referral: PA2025502175 / REF280516

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	27447 rev 0360	Total knee arthroplasty	—	1	1	$29,318.00	$16,124.90	—	—	Review
Totals						$29,318.00	$16,124.90	—	—

Diagnoses (ICD-10-CM)

1. M17.12 Unilateral primary osteoarthritis, left kneeprincipal
2. M54.50 Low back pain, unspecified
3. M25.561 Pain in right knee

Claim header

Patient account: PA-783865
Frequency code: 1 (original)
Accident: No
DRG: 470
Admit / discharge: 2026-01-15 to 2026-01-19
Landed: 2026-10-22 12:44

Rules engine

CLAIMS-ADJ v1: 11 checks, 2 needing attention

Check	Result	Code	Detail
Member identity	Pass		Attached to MBR-015363 (verified, link confidence 0.99).
Eligibility	Pass		Active on 2026-01-15: CORE-HMO (HMO), effective 2023-11-01.
Timely filing	Pass		Received 36 days after service (limit 90).
Duplicate check	Pass		No matching prior claim in the duplicate window.
Prior authorisation	Pass		Authorisation PA2025502175 on file for 27447.
Provider network	Pass		In-network provider Mesa Orthopedic Specialists (6714461483).
Medical necessity	Pass		Diagnosis supports the procedures billed.
Bundling (NCCI)	Pass		No bundling conflicts.
Benefit limits	Pass		No limited benefit on this claim.
Completeness	Review	CO16	Documentation incomplete: “Follow-up for unilateral primary osteoarthritis, left knee. Plan discussed, medications re”. Claim lacks information needed for adjudication
High-dollar review	Review	HIGH	Billed $29,318.00 exceeds the auto-adjudication ceiling of $15,000.00; examiner sign-off required. Billed amount above auto-pay ceiling

Evaluated 2026-10-22 12:44 under policy version 1. Left for review: soft signals only, no hard rule fired.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Mesa Orthopedic Specialists2026-01-18 11:41
Follow-up for unilateral primary osteoarthritis, left knee. Plan discussed, medications reconciled. Note dictated; signature pending.
SystemSystem: Claims system2026-02-23 04:05
Rendering provider signature missing on the attached note. Development letter sent to provider.
AdministrativeExaminer: R. Patel (Claims Examiner II)2026-02-23 13:55
Called the provider office; awaiting documentation.

Attachments

Documents received with the claim

Prior auth letterPA2025502175_approval.pdf2 pages
Utilisation management approval letter for 27447 (Total knee arthroplasty), valid 2026-01-15 to 2026-04-15.
Itemized billitemized_PA-783865.pdf4 pages
Itemised statement totalling $29318.00 across 1 line.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineReview2026-10-22 12:44
Completeness: Documentation incomplete: “Follow-up for unilateral primary osteoarthritis, left knee. Plan discussed, medications re”. High-dollar review: Billed $29,318.00 exceeds the auto-adjudication ceiling of $15,000.00; examiner sign-off required.

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-016436	2026-08-02	Unity Community Hospital	$3,039.00	Approved
CLM-2026-022160	2026-06-22	Pinecrest Physical Therapy	$343.00	Approved

AI recommendation

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

The rules engine left this claim for review. The AI adjudicator can read the evidence pack (lines, notes, attachments, coverage, history) and recommend an outcome with citations.

Examiner decision

Record the final decision; pricing and remittance reasons follow from it

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

PendedCO16scenario: Missing info

Development letter outstanding.

Review queue Member identity