Professional claim · CMS-1500 · EDI 837P
CLM-2026-019904
Mesa Family Practice, Family Medicine. Service 2026-07-03 at office (POS 11). Received 2026-07-22.
Approved
Billed
$570.00
3 lines
Allowed
$353.40
contract rate applied
Plan pays
$323.40
approved
Member owes
$30.00
copay / deductible / 20% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-21 13:43
Member
Resolved through the identity graph
- Member
- Edward Phillips
- Member ID
- UHC-73690-84
- Date of birth
- 1997-07-02
- Identity
- Verified2 records, confidence 0.99
- Claim record
- CLMCLM-414679
- Relationship
- Self, Columbus, OH
Coverage and accumulators
Found by member ID
- Plan
- MEDICARE-ADV-B MA group GRP-4493
- Coverage period
- 2025-01-01 to present
- Deductible
- $1,138.48 of $1,500.0076%
- Out-of-pocket maximum
- $177.15 of $3,000.006%
- Copays
- office $30.00, specialist $75.00, emergency $350.00
- Physical therapy visits
- 8 of 20 used
Provider
Billing and rendering
- Billing provider
- Mesa Family PracticeFamily Medicine · taxonomy 207Q00000X
- NPI
- 8314374140
- Network
- In network
- Rendering NPI
- 9677244912
- Location
- Atlanta, GA · TIN 41-8917438
- 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 | $242.00 | $150.04 | $30.00 | $120.04 | Paid |
| 2 | 99395 | Preventive visit, 18-39 years | — | 1 | 2 | $295.00 | $182.90 | $0.00 | $182.90 | Paid |
| 3 | 90471 | Immunization administration | — | 1 | 2 | $33.00 | $20.46 | $0.00 | $20.46 | Paid |
| Totals | $570.00 | $353.40 | $30.00 | $323.40 | ||||||
Diagnoses (ICD-10-CM)
- 1. E11.9 Type 2 diabetes mellitus without complicationsprincipal
- 2. E78.5 Hyperlipidemia, unspecified
Claim header
- Patient account
- PA-352356
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-21 13:43
Rules engine
CLAIMS-ADJ v1: 11 checks, 0 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-039282 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-07-03: MEDICARE-ADV-B (MA), effective 2025-01-01. | |
| Timely filing | Pass | Received 19 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 Mesa Family Practice (8314374140). | |
| 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 2026-10-21 13:43 under policy version 1. Clean claim: approved and priced automatically.
Notes
Provider, system and examiner notes on this claim
- ClinicalProvider: Mesa Family Practice2026-07-03 14:21
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
$570.00
Plan discount
$216.60
contracted rate
Plan paid
$323.40
You may owe
$30.00
copay, deductible and coinsurance
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-21 13:43Clean claim.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-028764 | 2026-08-21 | Lakeside Medical Group | $58.00 | Denied |
| CLM-2026-028763 | 2026-08-21 | Lakeside Medical Group | $58.00 | 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.