SS
Back to Outcomes

Outcome details

Review the outcome, its evidence and the contract logic. Ask Areev for an explanation, or open a dispute.

Claim screen CLM-784319

Questioned

Claim screened · OUT-2026-004118 · 14 Jan 2026, 08:41

Charge

SAR 3.00

Summary

A screen that ran on a claim already submitted under a different reference. The charge is on hold.

Patient
Layla M.
Payer
Tawuniya
Coder
Fatimah A.
Rule set
NPHIES 2026.3

Outcome Contract

You pay when

  • Screened against the current rule set
  • Coder accepted or edited
  • Result written to the draft
  • Rule-set version stamped

Credited automatically if

  • Duplicate claim
  • Missing payer record

Evidence

View all evidence

Screening record

18 checks run

Prior submission

Same encounter, ref CLM-784201

Coder decision

Rejected as duplicate

Claim draft

Unchanged

Question this outcome?

Not sure why this was billed? Get an explanation from the evidence, or open a dispute.

Open dispute

Outcome timeline

  1. Completed14 Jan 2026, 08:41 · work finished, evidence attached
  2. Verified14 Jan 2026, 08:41 · checks passed against the contract
  3. BillableIncluded in the next billing cycle

Why you were billed

The screen ran, but the encounter had already been submitted under CLM-784201. That is the duplicate condition in the contract, so the charge is on hold pending the credit.