Professional claim · CMS-1500 · EDI 837P
CLM-2026-023920
Harbor Medical Group, Internal Medicine. Service 2026-02-07 at office (POS 11). Received 2026-03-20.
ApprovedOut of network
Billed
$622.00
3 lines
Allowed
$279.90
contract rate applied
Plan pays
$260.55
approved
Member owes
$19.35
copay / deductible / 30% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-22 12:44
Member
Resolved through the identity graph
- Member
- Grace Mills
- Member ID
- UHC-19336-64
- Date of birth
- 1984-07-03
- Identity
- Verified3 records, confidence 0.99
- Claim record
- CLMCLM-402414
- Relationship
- Child, Orlando, FL
Coverage and accumulators
Found by member ID
- Plan
- OPTIONS-PPO PPO group UNKNOWN
- Coverage period
- 2023-08-01 to present
- Deductible
- $367.06 of $500.0073%
- Out-of-pocket maximum
- $295.49 of $1,000.0030%
- Copays
- office $20.00, specialist $40.00, emergency $150.00
- Physical therapy visits
- 19 of 20 used
Provider
Billing and rendering
- Billing provider
- Harbor Medical GroupInternal Medicine · taxonomy 207R00000X
- NPI
- 9527891607
- Network
- Out of network
- Rendering NPI
- 5531387277
- Location
- Charlotte, NC · TIN 28-8078153
- 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 | 80053 | Comprehensive metabolic panel | — | 1 | 1 | $43.00 | $19.35 | $19.35 | $0.00 | Paid |
| 2 | 99214 | Office visit, established patient, moderate complexity | — | 1 | 1 | $251.00 | $112.95 | $0.00 | $112.95 | Paid |
| 3 | 99215 | Office visit, established patient, high complexity | — | 1 | 1 | $328.00 | $147.60 | $0.00 | $147.60 | Paid |
| Totals | $622.00 | $279.90 | $19.35 | $260.55 | ||||||
Diagnoses (ICD-10-CM)
- 1. I10 Essential (primary) hypertensionprincipal
- 2. J44.9 COPD, unspecified
Claim header
- Patient account
- PA-381287
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-22 12:44
Rules engine
CLAIMS-ADJ v1: 11 checks, 1 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-008270 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-02-07: OPTIONS-PPO (PPO), effective 2023-08-01. | |
| Timely filing | Pass | Received 41 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 2026-10-22 12:44 under policy version 1. Clean claim: approved and priced automatically.
Notes
Provider, system and examiner notes on this claim
- ClinicalProvider: Harbor Medical Group2026-02-07 16:19
Patient seen for essential (primary) hypertension.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$622.00
Plan discount
$342.10
out-of-network allowance
Plan paid
$260.55
You may owe
$19.35
copay, deductible and coinsurance
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-22 12:44Provider network: Out-of-network provider; priced at the out-of-network allowance, balance billing may apply.
Other claims for this member
Same resolved identity
No other claims.
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.