Payment integrity Claim audit
Centene · payment integrity
Audit queue/ AUD-2026-04-0001/ CLM-0000011
Claim 11 of 25 Previous Next claim Back to queue

Post-pay review · Cypress Family Care

Medicaid · TX STAR Member MBR-55810322 DOS 16 Mar 2026 Paid 30 Mar 2026 · $10.56 Recovery window closes in 38 days
Eligibility: Active on the date of service Superior HealthPlan STAR · Texas Prior auth: Not required Professional service
Review closing letter

As paid vs. as it should have been

No variance
LnCodeDescription PaidShould be VarianceResult
1 80053 Comprehensive metabolic panel
E11.9 · Type 2 diabetes mellitus without complications
$10.56 $10.56 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

Not required
Requirement Not required

No prior authorization requirement for this service on this plan.

Policy applied

Knowledge Center

Resolved as at the date of service, 16 Mar 2026 — not as at today.

CPP-080 Eligibility, enrolment and retroactive termination Decisive

Coverage on the date of service, and the redetermination recorded against it

In force on 16 Mar 2026: v6.1 effective 2026-01-01
From CPP-080 v6.1, retrieved for this claim

3. Criteria 3.1 The date that governs Coverage is evaluated as at the date of service. Not the date of payment, and not the date of the audit. A member covered on the date of service whose coverage later ends prospectively creates no exposure on a claim already paid. 3.2 Recording the checks Both the enrolment status…

CPP-080 — Eligibility, enrolment and retroactive termination Version 6.1 · Effective 1 January 2026 · Supersedes v6.0 Owner: Enrolment Integrity Applies to: All lines of business — all states, with variations External basis: 45 CFR 156.270 (QHP grace period) · 42 CFR 435.916 (Medicaid redetermination) · CMS Medicare…

v6.1 had been in force for 74 days when this service happened. Before it, v6.0 applied — “Baseline. Eligibility verified once, at adjudication.”
CPP-033 Laboratory panel and component billing Supporting

Component and panel billing for the tests on this claim

In force on 16 Mar 2026: v5.0 effective 2025-10-01

No source document for v5.0 is in the index, so this policy can be cited here but not quoted. Upload it.

Source document

Open all four views
837P_20260319_045583.edi
Availity clearinghouse · EDI 837P · received 19 Mar 2026 10:35 · claim control CCN-3640582125
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
30 Mar 10:00 Claim paid, $10.56 released to provider Payment cycle
02 Apr 18:02 Selected for post-pay review Autonomize
07 Apr 09:30 Reviewed, no finding D. Mercer