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The claim that sat in a drawer
CLM-100023Professional · 837P
Total billed
$142.00
- Member ID
- MBR-0001
- Plan
- Commercial PPO (illustrative)
- Eligibility
- Member eligible on all dates of service. No gaps, no termination in the relevant window.
Member & Eligibility
- Name
- North Lakes Family Care
- NPI
- NPI-•••••1042
- Network
- In-network
- Specialty
- Family Medicine
Provider
Service Lines
| # | DOS | CPT/HCPCS | Mods | ICD-10 | POS | Units | Charge |
|---|---|---|---|---|---|---|---|
| 1 | Jan 8, 2025 | 99213 | — | J06.9 | 11 — Office | 1 | $142.00 |
Prior Authorization
Not required for this service.
Attachments & Notes
- •Claim received 2025-11-20 (clearinghouse timestamp, illustrative)
What is the correct disposition for this claim?
Make the call. You'll see the rationale for your choice, then the teardown and the systems-level fix.