Professional claim · CMS-1500 · Provider portal
CLM-2026-016593
Summit Family Practice, Family Medicine. Service 2026-06-18 at office (POS 11). Received 2026-08-02.
Approved
Billed
$537.00
3 lines
Allowed
$332.94
contract rate applied
Plan pays
$314.34
approved
Member owes
$18.60
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
- David Marshall
- Member ID
- UHC-68634-52
- Date of birth
- 1965-08-17
- Identity
- Verified3 records, confidence 1.00
- Claim record
- CLMCLM-430156
- Relationship
- Spouse, Columbus, OH
Coverage and accumulators
Found by member ID
- Plan
- SELECT-EPO EPO group GRP-5095
- Coverage period
- 2025-06-01 to present
- Deductible
- $477.19 of $1,000.0048%
- Out-of-pocket maximum
- $31.45 of $3,000.001%
- Copays
- office $40.00, specialist $50.00, emergency $250.00
- Physical therapy visits
- 11 of 20 used
Provider
Billing and rendering
- Billing provider
- Summit Family PracticeFamily Medicine · taxonomy 207Q00000X
- NPI
- 3071022859
- Network
- In network
- Rendering NPI
- 5168092166
- Location
- Minneapolis, MN · TIN 67-3208363
- 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 | 90471 | Immunization administration | — | 1 | 1 | $30.00 | $18.60 | $18.60 | $0.00 | Paid |
| 2 | 99214 | Office visit, established patient, moderate complexity | 25 | 1 | 1,2 | $228.00 | $141.36 | $0.00 | $141.36 | Paid |
| 3 | 99395 | Preventive visit, 18-39 years | — | 1 | 1,2 | $279.00 | $172.98 | $0.00 | $172.98 | Paid |
| Totals | $537.00 | $332.94 | $18.60 | $314.34 | ||||||
Diagnoses (ICD-10-CM)
- 1. M54.50 Low back pain, unspecifiedprincipal
- 2. I10 Essential (primary) hypertension
- 3. E11.9 Type 2 diabetes mellitus without complications
Claim header
- Patient account
- PA-685751
- 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-017095 (verified, link confidence 1.00). | |
| Eligibility | Pass | Active on 2026-06-18: SELECT-EPO (EPO), effective 2025-06-01. | |
| Timely filing | Pass | Received 45 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 Family Practice (3071022859). | |
| 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: Summit Family Practice2026-06-18 13:30
Patient seen for low back pain, unspecified.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$537.00
Plan discount
$204.06
contracted rate
Plan paid
$314.34
You may owe
$18.60
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
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-031568 | 2026-08-22 | Pinecrest Medical Group | $286.00 | 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.