Claims workbench/CLM-2026-031962

Professional claim · CMS-1500 · EDI 837P

CLM-2026-031962

Valley Bone and Joint Center, Orthopedic Surgery. Service 2026-03-20 at office (POS 11). Received 2026-05-10.

DeniedOut of network

Billed

$407.00

2 lines

Allowed

$183.15

if approved

Plan pays

—

Denied

Member owes

—

copay / deductible / 30% coinsurance

Rules engine

Deny

CO204

Decided by

Claims rules engine

2026-10-22 12:44

Member

Resolved through the identity graph

Member: Jesse Barnes
Member ID: UHC-14334-26
Date of birth: 1969-03-23
Identity: Verified3 records, confidence 0.99
Claim record: CLMCLM-416503
Relationship: Self, Miami, FL

Coverage and accumulators

Found by member ID

Plan: CORE-HMO HMO group GRP-4283
Coverage period: 2021-03-01 to present
Deductible: $449.14 of $500.0090%
Out-of-pocket maximum: $512.26 of $2,000.0026%
Copays: office $40.00, specialist $40.00, emergency $250.00
Physical therapy visits: 10 of 20 used

Provider

Billing and rendering

Billing provider: Valley Bone and Joint Center
Orthopedic Surgery · taxonomy 207X00000X
NPI: 9793653152
Network: Out of network
Rendering NPI: 1790964641
Location: Mesa, AZ · TIN 68-9887889
Authorisation / referral: none / REF924671

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	$191.00	$85.95	—	—	DeniedCO204
2	20610	Joint injection, major joint	—	1	2	$216.00	$97.20	—	—	DeniedCO204
Totals						$407.00	$183.15	—	—

Diagnoses (ICD-10-CM)

1. M54.50 Low back pain, unspecifiedprincipal
2. M17.11 Unilateral primary osteoarthritis, right knee

Claim header

Patient account: PA-136564
Frequency code: 1 (original)
Accident: No
DRG: —
Admit / discharge: —
Landed: 2026-10-22 12:44

Rules engine

CLAIMS-ADJ v1: 11 checks, 2 needing attention

Check	Result	Code	Detail
Member identity	Pass		Attached to MBR-006096 (verified, link confidence 0.99).
Eligibility	Pass		Active on 2026-03-20: CORE-HMO (HMO), effective 2021-03-01.
Timely filing	Pass		Received 51 days after service (limit 90).
Duplicate check	Review	DUP	Same member, date of service and procedures as CLM-2026-031961, billed by a different provider. Possible duplicate
Prior authorisation	Pass		No line requires precertification.
Provider network	Fail	CO204	Billing provider 9793653152 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.

Evaluated 2026-10-22 12:44 under policy version 1. Hard rule fired: Denied.

Notes

Provider, system and examiner notes on this claim

ClinicalProvider: Valley Bone and Joint Center2026-03-20 15:59
Follow-up for low back pain, unspecified. Plan discussed, medications reconciled. Patient was seen earlier the same day by another provider for an unrelated complaint.
SystemSystem: Claims system2026-05-10 00:52
Edit 018 fired on a different billing provider for the same date of service. Needs review before release.
AdministrativeExaminer: R. Patel (Claims Examiner II)2026-05-10 13:39
Member services inquiry logged on this claim; member asked about the status of payment.

Attachments

Documents received with the claim

No attachments.

Claim history

Every event on this claim, sealed in the audit chain

Rules engineDenied2026-10-22 12:44
Duplicate check: Same member, date of service and procedures as CLM-2026-031961, billed by a different provider. Provider network: Billing provider 9793653152 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-2026-004537	2026-05-26	Sunrise Digestive Health Center	$204.00	Denied
CLM-2026-004536	2026-05-26	Unity Digestive Health Center	$204.00	Approved
CLM-2026-031961	2026-03-20	Lakeside Bone and Joint Center	$407.00	Approved

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

Approvedscenario: Possible duplicate

Different billing provider; separately payable.

Review queue Member identity