Professional claim · CMS-1500 · EDI 837P
CLM-2026-029052
Riverside Primary Care Associates, Family Medicine. Service 2026-07-22 at office (POS 11). Received 2026-07-29.
Approved
Billed
$313.00
2 lines
Allowed
$194.06
contract rate applied
Plan pays
$181.66
approved
Member owes
$12.40
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
- Fatima Butler
- Member ID
- UHC-49073-83
- Date of birth
- 1972-06-01
- Identity
- Verified5 records, confidence 0.99
- Claim record
- CLMCLM-416018
- Relationship
- Self, Charlotte, NC
Coverage and accumulators
Found by member ID
- Plan
- CHOICE-PLUS-PPO PPO group GRP-4640
- Coverage period
- 2021-12-01 to present
- Deductible
- $1,157.04 of $2,500.0046%
- Out-of-pocket maximum
- $1,066.91 of $5,000.0021%
- Copays
- office $20.00, specialist $50.00, emergency $150.00
- Physical therapy visits
- 21 of 20 used
Provider
Billing and rendering
- Billing provider
- Riverside Primary Care AssociatesFamily Medicine · taxonomy 207Q00000X
- NPI
- 8662496362
- Network
- In network
- Rendering NPI
- 6575576569
- Location
- Austin, TX · TIN 71-8699033
- 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 | 36415 | Venipuncture | — | 1 | 1 | $20.00 | $12.40 | $12.40 | $0.00 | Paid |
| 2 | 99395 | Preventive visit, 18-39 years | — | 1 | 1,2 | $293.00 | $181.66 | $0.00 | $181.66 | Paid |
| Totals | $313.00 | $194.06 | $12.40 | $181.66 | ||||||
Diagnoses (ICD-10-CM)
- 1. E78.5 Hyperlipidemia, unspecifiedprincipal
- 2. J06.9 Acute upper respiratory infection, unspecified
- 3. E11.9 Type 2 diabetes mellitus without complications
Claim header
- Patient account
- PA-146582
- 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-014985 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-07-22: - (PPO), effective 2021-12-01. | |
| Timely filing | Pass | Received 7 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 Riverside Primary Care Associates (8662496362). | |
| 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: Riverside Primary Care Associates2026-07-22 14:23
Follow-up for hyperlipidemia, unspecified. Plan discussed, medications reconciled.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$313.00
Plan discount
$118.94
contracted rate
Plan paid
$181.66
You may owe
$12.40
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-2026-017302 | 2026-07-08 | Valley Clinical Laboratories | $97.00 | Denied |
| CLM-2026-022488 | 2026-06-21 | Summit Clinical Laboratories | $65.00 | Approved |
| CLM-2026-017301 | 2026-07-08 | Valley Clinical Laboratories | $97.00 | Approved |
| CLM-2026-013595 | 2026-01-13 | Meadow Clinical Laboratories | $185.00 | 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.