CLM-2026-028442
Unity Community Hospital, Emergency Medicine. Service 2026-01-05 at emergency room (POS 23). Received 2026-01-16.
Member
Resolved through the identity graph
- Member
- Adam Sanders
- Member ID
- UHC-72705-09
- Date of birth
- 2005-02-09
- Identity
- Verified3 records, confidence 0.99
- Claim record
- CLMCLM-429849
- Relationship
- Child, Tempe, AZ
Coverage and accumulators
Found by member ID
- Plan
- NAVIGATE-HMO HMO group GRP-7594
- Coverage period
- 2025-06-01 to present
- Deductible
- $290.66 of $500.0058%
- Out-of-pocket maximum
- $295.01 of $1,000.0030%
- Copays
- office $30.00, specialist $75.00, emergency $350.00
- Physical therapy visits
- 21 of 20 used
Provider
Billing and rendering
- Billing provider
- Unity Community HospitalEmergency Medicine · taxonomy 207P00000X
- NPI
- 5583357806
- Network
- In network
- Rendering NPI
- 5583357806
- Location
- Tempe, AZ · TIN 68-0325602
- Authorisation / referral
- none / REF622982
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 | 99284 rev 0450 | Emergency department visit, high severity | — | 1 | 1 | $1,435.00 | $789.25 | $350.00 | $439.25 | Paid |
| 2 | 99283 rev 0450 | Emergency department visit, moderate severity | — | 1 | 2 | $640.00 | $352.00 | $0.00 | $352.00 | Paid |
| 3 | 99285 rev 0450 | Emergency department visit, high severity with threat to life | 25 | 1 | 1,2 | $1,844.00 | $1,014.20 | $0.00 | $1,014.20 | Paid |
| Totals | $3,919.00 | $2,155.45 | $350.00 | $1,805.45 | ||||||
- 1. R07.9 Chest pain, unspecifiedprincipal
- 2. R55 Syncope and collapse
- Patient account
- PA-693307
- Frequency code
- 1 (original)
- Accident
- Yes
- 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-004883 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-01-05: NAVIGATE-HMO (HMO), effective 2025-06-01. | |
| Timely filing | Pass | Received 11 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 Unity Community Hospital (5583357806). | |
| 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: Unity Community Hospital2026-01-05 17:00
Established patient presents with chest pain, unspecified; symptoms reviewed and vitals within expected range.
Attachments
Documents received with the claim
- Itemized billitemized_PA-693307.pdf7 pages
Itemised statement totalling $3919.00 across 3 lines.
- Er reported_report_PA-693307.pdf4 pages
Emergency department record: triage acuity 2, chief complaint chest pain, unspecified.
Explanation of benefits
What the member will see
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
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.