Claims workbench/CLM-2026-030206

Institutional claim · UB-04 · EDI 837I

CLM-2026-030206

Meadow GI Associates, Gastroenterology. Service 2026-08-12 at outpatient hospital (POS 22). Received 2026-09-06.

DeniedOut of network

Billed

$1,930.00

2 lines

Allowed

$868.50

if approved

Plan pays

—

Denied

Member owes

—

copay / deductible / 10% coinsurance

Rules engine

Deny

CO204

Decided by

Claims rules engine

2026-10-21 13:43

Member

Resolved through the identity graph

Member: Isabella Santos
Member ID: UHC-21801-43
Date of birth: 1985-12-02
Identity: Verified6 records, confidence 0.97
Claim record: CLMCLM-421793
Relationship: Spouse, Tempe, AZ

Coverage and accumulators

Found by member ID

Plan: SELECT-EPO EPO group GRP-3180
Coverage period: 2025-12-01 to present
Deductible: $881.54 of $1,000.0088%
Out-of-pocket maximum: $978.62 of $2,000.0049%
Copays: office $30.00, specialist $60.00, emergency $350.00
Physical therapy visits: 6 of 20 used

Provider

Billing and rendering

Billing provider: Meadow GI Associates
Gastroenterology · taxonomy 207RG0100X
NPI: 7747243401
Network: Out of network
Rendering NPI: 9743475250
Location: Los Angeles, CA · TIN 16-0400328
Authorisation / referral: PA2026218131 / none

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	88305 rev 0310	Surgical pathology, level IV	—	1	1	$220.00	$99.00	—	—	DeniedCO204
2	45378 rev 0750	Colonoscopy, diagnostic	25	1	1,2	$1,710.00	$769.50	—	—	DeniedCO204
Totals						$1,930.00	$868.50	—	—

Diagnoses (ICD-10-CM)

1. K21.9 Gastro-esophageal reflux disease without esophagitisprincipal
2. K58.0 Irritable bowel syndrome with diarrhea

Claim header

Patient account: PA-596511
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-028204 (verified, link confidence 0.97).
Eligibility	Pass		Active on 2026-08-12: SELECT-EPO (EPO), effective 2025-12-01.
Timely filing	Pass		Received 25 days after service (limit 90).
Duplicate check	Pass		No matching prior claim in the duplicate window.
Prior authorisation	Pass		Authorisation PA2026218131 on file for 45378.
Provider network	Fail	CO204	Billing provider 7747243401 is out of network and the EPO 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.

Evaluated 2026-10-21 13:43 under policy version 1. Hard rule fired: Denied.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Meadow GI Associates2026-08-12 14:02
Follow-up for gastro-esophageal reflux disease without esophagitis. Plan discussed, medications reconciled.
SystemSystem: Claims system2026-09-06 01:19
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

Prior auth letterPA2026218131_approval.pdf2 pages
Utilisation management approval letter for 88305 (Surgical pathology, level IV), valid 2026-08-12 to 2026-11-10.
Itemized billitemized_PA-596511.pdf6 pages
Itemised statement totalling $1930.00 across 2 lines.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineDenied2026-10-21 13:43
Provider network: Billing provider 7747243401 is out of network and the EPO plan has no out-of-network benefit.

Other claims for this member

Same resolved identity

Claim	Service	Provider	Billed	Status
CLM-2026-003442	2026-09-03	Lakeside Skin Care Associates	$479.00	Approved
CLM-2026-006666	2026-05-09	Unity Primary Care Associates	$566.00	Denied

AI recommendation

assist mode · apac.amazon.nova-pro-v1:0

A hard rule decided this claim; the AI is advisory here.

Examiner decision

Denied by Claims rules engine; an examiner may still override

Outcome

Approve and pay as pricedAllowed amount, member responsibility and plan payment are applied to every line.DenyNo payment. Reason codes go on the remittance advice and the member's explanation of benefits.Pend for informationHold the claim; a development letter or confirmation is needed before it can be finalised.Refer to special investigationsRoute to the SIU for a fraud, waste and abuse review. No payment until cleared.

Examiner rationale *

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

DeniedCO204scenario: Oon hmo

No out-of-network benefit on this plan.

Review queue Member identity