CLM-2026-033332
Meadow Regional Medical Center, Emergency Medicine. Service 2025-12-20 at emergency room (POS 23). Received 2026-01-13.
Member
Resolved through the identity graph
- Member
- Kenneth George
- Member ID
- UHC-44938-15
- Date of birth
- 1945-10-13
- Identity
- Verified4 records, confidence 0.97
- Claim record
- CLMCLM-412422
- Relationship
- Self, Tucson, AZ
Coverage and accumulators
Found by member ID
- Plan
- MEDICARE-ADV-A MA group GRP-5899
- Coverage period
- 2025-07-01 to present
- Deductible
- $240.04 of $1,000.0024%
- Out-of-pocket maximum
- $1,129.65 of $3,000.0038%
- Copays
- office $40.00, specialist $50.00, emergency $350.00
- Physical therapy visits
- 3 of 20 used
Provider
Billing and rendering
- Billing provider
- Meadow Regional Medical CenterEmergency Medicine · taxonomy 207P00000X
- NPI
- 1905050427
- Network
- In network
- Rendering NPI
- 1905050427
- Location
- Dallas, TX · TIN 71-2312931
- 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 | $932.00 | $512.60 | $350.00 | $162.60 | Paid |
| 2 | 99285 rev 0450 | Emergency department visit, high severity with threat to life | 25 | 1 | 1 | $2,823.00 | $1,552.65 | $0.00 | $1,552.65 | Paid |
| Totals | $3,755.00 | $2,065.25 | $350.00 | $1,715.25 | ||||||
- 1. R55 Syncope and collapseprincipal
- Patient account
- PA-123135
- Frequency code
- 1 (original)
- Accident
- No
- DRG
- —
- Admit / discharge
- —
- Landed
- 2026-10-22 12:44
Rules engine
CLAIMS-ADJ v1: 11 checks, 0 needing attention
| Check | Result | Code | Detail |
|---|---|---|---|
| Member identity | Pass | Attached to MBR-003943 (verified, link confidence 0.97). | |
| Eligibility | Pass | Active on 2025-12-20: MEDICARE-ADV-A (MA), effective 2025-07-01. | |
| Timely filing | Pass | Received 24 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 Meadow Regional Medical Center (1905050427). | |
| 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: Meadow Regional Medical Center2025-12-20 13:28
Follow-up for syncope and collapse. Plan discussed, medications reconciled.
Attachments
Documents received with the claim
- Itemized billitemized_PA-123135.pdf5 pages
Itemised statement totalling $3755.00 across 2 lines.
- Er reported_report_PA-123135.pdf4 pages
Emergency department record: triage acuity 3, chief complaint syncope and collapse.
Explanation of benefits
What the member will see
Claim history
Every event on this claim, sealed in the audit chain
- Rules engineApproved2026-10-22 12:44Clean claim.
Other claims for this member
Same resolved identity
| Claim | Service | Provider | Billed | Status |
|---|---|---|---|---|
| CLM-2026-004658 | 2026-07-14 | Meadow Clinical Laboratories | $178.00 | Approved |
| CLM-2026-026171 | 2026-06-27 | Lakeside Dermatology Clinic | $247.00 | Needs review |
| CLM-2026-026170 | 2026-06-27 | Sunrise Dermatology Clinic | $247.00 | 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.