Submitted
07/31 10:12 AM
277 status accepted
Accepted
07/31 10:14 AM
277 status accepted
In Process
08/01 6:30 AM
277 status accepted
Paid
08/09 2:05 PM
277 status accepted
Lifecycle
Payer status responses
Submitted
07/31/2026 · 10:12 AM
837P transmitted via AI clearinghouse
Accepted
07/31/2026 · 10:14 AM
999 acknowledgement — 0 errors
In Process
08/01/2026 · 6:30 AM
Payer adjudication in progress
Paid
08/09/2026 · 2:05 PM
EFT #EFT-556201 · ERA 835 received
Days to payment
9
Practice average: 21.4 days
Line Detail
| CPT | Mod | Charge | Status |
|---|---|---|---|
| 99204 | 25 | $245.00 | Paid |
| 20610 | RT | $198.00 | Paid |
| 73562 | RT | $85.00 | Paid |
Claim Record
Payer claim IDUHC-8871003912
Total charges$528.00
Allowed$455.00
Insurance paid$376.48
Patient responsibility$78.52
Balance$0.00
Other Claims in Queue
CLM-2026-0088430Robert Nguyen$312.00Ready
CLM-2026-0088428Maria Delgado$196.00In Process
CLM-2026-0088425Devon Bailey$1,140.00Paid
CLM-2026-0088419Alice Whitmore$248.00Denied