CLM-2025-001854
CardioVascular Associates of Texas · Medicare · 837P
⌘K
CLM-2025-001854
ResubmittedCardioVascular Associates of Texas · Medicare
$2,180.00
Provider
Dr. Thomas Reyes
Patient Ref
PT-11092
Service Date
2025-01-08
Claim Type
837P
Billing Summary
Diagnosis Codes
I48.0I10
Procedure Codes
9300093306
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 Score18 / 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.