CLM-2026-024182
Evergreen Dermatology Clinic, Dermatology. Service 2026-04-12 at office (POS 11). Received 2026-05-22.
Member
Resolved through the identity graph
- Member
- Emily Ramirez
- Member ID
- UHC-37730-93
- Date of birth
- 1959-12-05
- Identity
- Verified4 records, confidence 0.99
- Claim record
- CLMCLM-429097
- Relationship
- Self, Tempe, AZ
Coverage and accumulators
Found by member ID
- Plan
- CORE-HMO HMO group GRP-9873
- Coverage period
- 2022-10-01 to present
- Deductible
- $1,442.42 of $2,500.0058%
- Out-of-pocket maximum
- $1,154.29 of $7,500.0015%
- Copays
- office $30.00, specialist $50.00, emergency $250.00
- Physical therapy visits
- 20 of 20 used
Provider
Billing and rendering
- Billing provider
- Evergreen Dermatology ClinicDermatology · taxonomy 207N00000X
- NPI
- 5921287756
- Network
- Out of network
- Rendering NPI
- 2437056148
- Location
- Mesa, AZ · TIN 16-2434239
- Authorisation / referral
- none / REF294045
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 | $200.00 | $90.00 | — | — | DeniedCO204 |
| 2 | 17110 | Destruction of benign lesions, up to 14 | — | 1 | 1,2 | $263.00 | $118.35 | — | — | DeniedCO204 |
| Totals | $463.00 | $208.35 | — | — | ||||||
- 1. L57.0 Actinic keratosisprincipal
- 2. L30.9 Dermatitis, unspecified
- Patient account
- PA-152427
- 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-005932 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-04-12: CORE-HMO (HMO), effective 2022-10-01. | |
| Timely filing | Pass | Received 40 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 | Fail | CO204 | Billing provider 5921287756 is out of network and the HMO plan has no out-of-network benefit. Service not covered under the member's plan |
| 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: Evergreen Dermatology Clinic2026-04-12 17:01
Follow-up for actinic keratosis. Plan discussed, medications reconciled.
- SystemSystem: Claims system2026-05-22 03:50
Billing provider is out of network and the member's plan has no out-of-network benefit outside of emergencies.
Attachments
Documents received with the claim
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineDenied2026-10-21 13:43Provider network: Billing provider 5921287756 is out of network and the HMO plan has no out-of-network benefit.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-001652 | 2026-03-06 | Canyon Internal Medicine Associates | $85.00 | Denied |
| CLM-2026-016045 | 2026-01-15 | Meadow Primary Care Associates | $220.00 | Approved |
AI recommendation
assist mode · apac.amazon.nova-pro-v1:0
Examiner decision
Denied by Claims rules engine; an examiner may still override
Evaluation truth
Hidden label from the synthetic generator; never shown to the model
No out-of-network benefit on this plan.