Professional claim · CMS-1500 · Paper
CLM-2026-023164
Northgate Bone and Joint Center, Orthopedic Surgery. Service 2026-08-28 at office (POS 11). Received 2026-09-10.
ApprovedOut of network
Billed
$199.00
1 line
Allowed
$89.55
contract rate applied
Plan pays
$29.55
approved
Member owes
$60.00
copay / deductible / 10% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-21 13:43
Member
Resolved through the identity graph
- Member
- Kenneth Kennedy
- Member ID
- UHC-75623-35
- Date of birth
- 1997-07-03
- Identity
- Verified5 records, confidence 0.99
- Claim record
- CLMCLM-415352
- Relationship
- Self, Minneapolis, MN
Coverage and accumulators
Found by member ID
- Plan
- CHOICE-PLUS-PPO PPO group GRP-6252
- Coverage period
- 2022-10-01 to present
- Deductible
- $1,968.09 of $2,500.0079%
- Out-of-pocket maximum
- $360.90 of $5,000.007%
- Copays
- office $30.00, specialist $60.00, emergency $250.00
- Physical therapy visits
- 7 of 20 used
Provider
Billing and rendering
- Billing provider
- Northgate Bone and Joint CenterOrthopedic Surgery · taxonomy 207X00000X
- NPI
- 1493585297
- Network
- Out of network
- Rendering NPI
- 8636892803
- Location
- Dallas, TX · TIN 17-2392567
- 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 | 99213 | Office visit, established patient, low complexity | — | 1 | 1 | $199.00 | $89.55 | $60.00 | $29.55 | Paid |
| Totals | $199.00 | $89.55 | $60.00 | $29.55 | ||||||
Diagnoses (ICD-10-CM)
- 1. M17.12 Unilateral primary osteoarthritis, left kneeprincipal
- 2. M17.11 Unilateral primary osteoarthritis, right knee
Claim header
- Patient account
- PA-845555
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-21 13:43
Rules engine
CLAIMS-ADJ v1: 11 checks, 1 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-025934 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-08-28: - (PPO), effective 2022-10-01. | |
| Timely filing | Pass | Received 13 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 | Note | Out-of-network provider; priced at the out-of-network allowance, balance billing may apply. | |
| 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: Northgate Bone and Joint Center2026-08-28 09:49
Patient seen for unilateral primary osteoarthritis, left knee.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$199.00
Plan discount
$109.45
out-of-network allowance
Plan paid
$29.55
You may owe
$60.00
copay, deductible and coinsurance
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-21 13:43Provider network: Out-of-network provider; priced at the out-of-network allowance, balance billing may apply.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-018489 | 2026-04-19 | Evergreen Digestive Health Center | $1,972.00 | Approved |
| CLM-2026-000791 | 2026-04-12 | Sunrise Medical Group | $243.00 | Needs review |
| CLM-2026-001850 | 2026-03-31 | Riverside Imaging Center | $1,790.00 | Needs review |
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.