CLM-2026-018927
Lakeside Regional Medical Center, Emergency Medicine. Service 2026-06-07 at emergency room (POS 23). Received 2026-07-04.
Member
Resolved through the identity graph
- Member
- Jordan Carr
- Member ID
- UHC-85213-42
- Date of birth
- 1977-09-07
- Identity
- Verified4 records, confidence 0.99
- Claim record
- CLMCLM-417126
- Relationship
- Self, Jacksonville, FL
Coverage and accumulators
Found by member ID
- Plan
- CHOICE-PLUS-PPO PPO group GRP-3906
- Coverage period
- 2022-07-01 to present
- Deductible
- $828.59 of $1,000.0083%
- Out-of-pocket maximum
- $475.45 of $2,000.0024%
- Copays
- office $20.00, specialist $50.00, emergency $150.00
- Physical therapy visits
- 17 of 20 used
Provider
Billing and rendering
- Billing provider
- Lakeside Regional Medical CenterEmergency Medicine · taxonomy 207P00000X
- NPI
- 7132870750
- Network
- In network
- Rendering NPI
- 7132870750
- Location
- Miami, FL · TIN 25-1370713
- Authorisation / referral
- none / none
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 | 99283 rev 0450 | Emergency department visit, moderate severity | — | 1 | 1 | $753.00 | $414.15 | $150.00 | $264.15 | Paid |
| 2 | 99285 rev 0450 | Emergency department visit, high severity with threat to life | — | 1 | 1,2 | $2,324.00 | $1,278.20 | $0.00 | $1,278.20 | Paid |
| Totals | $3,077.00 | $1,692.35 | $150.00 | $1,542.35 | ||||||
- 1. R55 Syncope and collapseprincipal
- 2. S93.401A Sprain of unspecified ligament of right ankle, initial encounter
- Patient account
- PA-494652
- Frequency code
- 1 (original)
- Accident
- Yes
- 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-009693 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-06-07: CHOICE-PLUS-PPO (PPO), effective 2022-07-01. | |
| Timely filing | Pass | Received 27 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 Lakeside Regional Medical Center (7132870750). | |
| 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: Lakeside Regional Medical Center2026-06-07 11:24
Established patient presents with syncope and collapse; symptoms reviewed and vitals within expected range.
Attachments
Documents received with the claim
- Itemized billitemized_PA-494652.pdf5 pages
Itemised statement totalling $3077.00 across 2 lines.
- Er reported_report_PA-494652.pdf6 pages
Emergency department record: triage acuity 2, chief complaint syncope and collapse.
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
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-033490 | 2026-04-14 | Canyon Community Hospital | $380.00 | Approved |
| CLM-2026-030552 | 2026-02-12 | Pinecrest Family Practice | $39.00 | Needs review |
| CLM-2026-030551 | 2026-02-12 | Unity Primary Care Associates | $39.00 | Approved |
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.