CLM-2026-032824
Valley Regional Medical Center, Emergency Medicine. Service 2026-09-07 at emergency room (POS 23). Received 2026-10-05.
Member
Resolved through the identity graph
- Member
- Aisha Cole
- Member ID
- UHC-86878-50
- Date of birth
- 1975-04-01
- Identity
- Verified4 records, confidence 0.99
- Claim record
- CLMCLM-403428
- Relationship
- Self, Minneapolis, MN
Coverage and accumulators
Found by member ID
- Plan
- MEDICARE-ADV-A MA group GRP-5066
- Coverage period
- 2025-05-01 to present
- Deductible
- $1,818.89 of $3,500.0052%
- Out-of-pocket maximum
- $2,737.71 of $14,000.0020%
- Copays
- office $25.00, specialist $60.00, emergency $350.00
- Physical therapy visits
- 22 of 20 used
Provider
Billing and rendering
- Billing provider
- Valley Regional Medical CenterEmergency Medicine · taxonomy 207P00000X
- NPI
- 2408607978
- Network
- In network
- Rendering NPI
- 2408607978
- Location
- Austin, TX · TIN 89-0699789
- Authorisation / referral
- none / 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 | 99283 rev 0450 | Emergency department visit, moderate severity | — | 1 | 1 | $1,083.00 | $595.65 | $350.00 | $245.65 | Paid |
| Totals | $1,083.00 | $595.65 | $350.00 | $245.65 | ||||||
- 1. J18.9 Pneumonia, unspecified organismprincipal
- 2. R07.9 Chest pain, unspecified
- 3. R55 Syncope and collapse
- Patient account
- PA-709675
- 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-030273 (verified, link confidence 0.99). | |
| Eligibility | Pass | Active on 2026-09-07: MEDICARE-ADV-A (MA), effective 2025-05-01. | |
| Timely filing | Pass | Received 28 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 Valley Regional Medical Center (2408607978). | |
| 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: Valley Regional Medical Center2026-09-07 18:09
Follow-up for pneumonia, unspecified organism. Plan discussed, medications reconciled.
Attachments
Documents received with the claim
- Itemized billitemized_PA-709675.pdf7 pages
Itemised statement totalling $1083.00 across 1 line.
- Er reported_report_PA-709675.pdf5 pages
Emergency department record: triage acuity 3, chief complaint pneumonia, unspecified organism.
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
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-032825 | 2026-09-07 | Valley Regional Medical Center | $1,083.00 | Denied |
| CLM-2026-003521 | 2026-05-29 | Evergreen Orthopedic Specialists | $312.00 | Approved |
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.