Professional claim · CMS-1500 · EDI 837P
CLM-2026-033062
Summit Internal Medicine Associates, Internal Medicine. Service 2026-08-11 at office (POS 11). Received 2026-09-14.
Approved
Billed
$623.00
2 lines
Allowed
$386.26
contract rate applied
Plan pays
$361.26
approved
Member owes
$25.00
copay / deductible / 10% coinsurance
Rules engine
Clean
no reason codes
Decided by
Claims rules engine
2026-10-21 13:43
Member
Resolved through the identity graph
- Member
- Mariana Johnson
- Member ID
- UHC-60276-16
- Date of birth
- 1997-03-21
- Identity
- Verified6 records, confidence 0.97
- Claim record
- CLMCLM-409490
- Relationship
- Self, Dallas, TX
Coverage and accumulators
Found by member ID
- Plan
- CORE-HMO HMO group GRP-7457
- Coverage period
- 2024-01-01 to present
- Deductible
- $19.74 of $500.004%
- Out-of-pocket maximum
- $255.04 of $1,500.0017%
- Copays
- office $25.00, specialist $50.00, emergency $350.00
- Physical therapy visits
- 7 of 20 used
Provider
Billing and rendering
- Billing provider
- Summit Internal Medicine AssociatesInternal Medicine · taxonomy 207R00000X
- NPI
- 6465307315
- Network
- In network
- Rendering NPI
- 3831164272
- Location
- Dallas, TX · TIN 38-0331357
- Authorisation / referral
- none / REF524966
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 | 99214 | Office visit, established patient, moderate complexity | — | 1 | 1 | $205.00 | $127.10 | $25.00 | $102.10 | Paid |
| 2 | 99215 | Office visit, established patient, high complexity | — | 1 | 1,2 | $418.00 | $259.16 | $0.00 | $259.16 | Paid |
| Totals | $623.00 | $386.26 | $25.00 | $361.26 | ||||||
Diagnoses (ICD-10-CM)
- 1. I48.91 Unspecified atrial fibrillationprincipal
- 2. J44.9 COPD, unspecified
- 3. I10 Essential (primary) hypertension
Claim header
- Patient account
- PA-959056
- 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-031686 (verified, link confidence 0.97). | |
| Eligibility | Pass | Active on 2026-08-11: CORE-HMO (HMO), effective 2024-01-01. | |
| Timely filing | Pass | Received 34 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 Summit Internal Medicine Associates (6465307315). | |
| 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: Summit Internal Medicine Associates2026-08-11 10:24
Patient seen for unspecified atrial fibrillation.
Attachments
Documents received with the claim
No attachments.
Explanation of benefits
What the member will see
Amount billed
$623.00
Plan discount
$236.74
contracted rate
Plan paid
$361.26
You may owe
$25.00
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-2026-033063 | 2026-08-11 | Summit Internal Medicine Associates | $623.00 | Denied |
| CLM-2026-025514 | 2026-07-15 | Summit Internal Medicine Associates | $465.00 | Approved |
| CLM-2026-028775 | 2026-05-25 | Desert Medical Group | $201.00 | Approved |
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.