CLM-2025-001851
MedBridge Billing Solutions · Cigna · 837P
⌘K
CLM-2025-001851
Routed to Claim.MDMedBridge Billing Solutions · Cigna
$520.00
Provider
Dr. Vanessa Park
Patient Ref
PT-58211
Service Date
2025-01-14
Claim Type
837P
Billing Summary
Diagnosis Codes
J06.9
Procedure Codes
99203
Claim Timeline
Claim created and imported10:01 AM
Received via batch upload
MASE Rules Engine — Scrub initiated10:01 AM
8 rules evaluated
MASE AI Scrub completed10:02 AM
Passed all validation checks
Routed to Claim.MD adapter10:03 AM
claimmd-claims-adapter v2.1
Submitted to payer via Claim.MD10:04 AM
ISA batch 00421 · GS group 004
999 Acknowledgement received10:05 AM
AK2 accepted — Functional Group OK
MASE AI Scrub
Risk Score24 / 100
Scrub ResultPassed
Rules Evaluated8 / 8
AI Modelmase-scrub-v3.1
Claim.MD Transaction Trace
Routing StatusIn Transit
Ack ResultAwaiting
Adapterclaimmd-claims-adapter
ISA Batch00421
Recommended Next Action
Monitor claim status. Expected acknowledgement within 24 hours.