Clearinghouse Edits
Awaiting validation run
Eligibility
Active coverage confirmed 07/31/2026
Coding
ICD-10 / CPT pairing valid for payer
Modifier
Modifier 25 + RT accepted
Medical Necessity
Meets LCD L33575 criteria
Duplicate Check
No matching claim in 90 days
NPI & TIN
Provider credentialed with payer
Claim Header
Claim IDCLM-2026-0088431
PatientSarah Johnson
PayerUnitedHealthcare · Choice Plus PPO
Billing providerDr. Michael Carter
TIN31-0987654
Total charges$528.00
Expected allowed$455.00
Validation Log
NetRev AI EDI
10:09:58 · 837P batch created (1 claim)
10:09:59 · Loop 2000B subscriber validated
10:10:00 · NCCI edits — 0 conflicts
10:10:01 · Modifier 25 accepted on 99204
10:10:02 · LCD L33575 necessity satisfied
10:10:03 · awaiting operator confirmation