Payment integrity Claim audit
Centene · payment integrity
Audit queue/ AUD-2026-04-0001/ CLM-0000006
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Post-pay review · Lakeview Surgical

Marketplace Member MBR-77031482 DOS 13 Mar 2026 Paid 28 Mar 2026 · $512.88 Recovery window closes in 36 days
Eligibility: Active on the date of service Ambetter Gold 80 HMO · Texas Prior auth: Expired before the date of service Professional service
Review closing letter

As paid vs. as it should have been

No variance
LnCodeDescription PaidShould be VarianceResult
1 29881 Arthroscopy, knee, surgical, with meniscectomy
M23.221 · Derangement of posterior horn of medial meniscus due to old tear, right knee
$512.88 $512.88 Correct

Determination

No defect in any layer

Reviewed with no variance. Every line was paid at the allowable on file.

How it was coded

Coded as documented
Billed As documented
Supported by the record As documented

Remedy: None — the claim was billed and priced as the record supports

Reviewed for level, severity and unit count. Nothing billed above what the record carries.

Prior authorization

Expired before the date of service
Authorization PA-2026-114907
Approved 2026-01-10
Valid 2026-01-10 → 2026-03-10
What was authorised Knee arthroscopy with meniscectomy, one session
What was billed One session performed 13 Mar 2026

The authorization lapsed three days before the service. Under CPP-085 v3.4 the service is reviewable, but this is an authorization gap rather than a coding or pricing variance — it is referred to utilization management, not recovered here.

Policy applied

Knowledge Center

Resolved as at the date of service, 13 Mar 2026 — not as at today.

CPP-085 Prior authorization and post-service review Decisive

Whether the authorization on file covers the service billed

In force on 13 Mar 2026: v3.4 effective 2025-11-01
From CPP-085 v3.4, retrieved for this claim

3. Criteria 3.1 An authorization on file A service with an approved authorization on file, performed within the authorised date range and at the authorised site, is not denied post-service for medical necessity. A reviewer who believes the authorization was granted in error refers the matter to utilization management…

4. Variations by state and line of business 4.1 Texas — gold-carding Texas House Bill 3459 exempts a provider whose prior-authorization requests for a given service were approved at or above the statutory rate in the preceding evaluation period from having to obtain authorization for that service. An exempt provider…

CPP-080 Eligibility, enrolment and retroactive termination Supporting

Coverage on the date of service

In force on 13 Mar 2026: v6.1 effective 2026-01-01

v6.1 was extracted from CPP-080_eligibility-enrolment-retroactive-termination_v6.1.md. Passages are quoted only on the policy the finding rests on.

Source document

Open all four views
837P_20260316_032275.edi
Availity clearinghouse · EDI 837P · received 16 Mar 2026 14:14 · claim control CCN-3739131173
Claim form As received EDI Remittance

How this was decided

Open the full trace

Walked through Professional claims post-pay review v1.9, signed off 2026-01-14.

Procedure SOP-PRO-01 — Professional claims — office visits, procedures, laboratory, imaging
Nodes walked 12
Model calls 0 — every node that resolved did so on a rule, a lookup or arithmetic
28 Mar 10:00 Claim paid, $512.88 released to provider Payment cycle
02 Apr 18:02 Selected for post-pay review Autonomize
07 Apr 09:30 Reviewed, no finding D. Mercer