CLM-2026-001

To Review

James Rodriguez · DOS Jan 28, 2026 · Blue Cross Blue Shield FL

Agent Reasoning

Patient Information

JR

James Rodriguez

DOB: Mar 14, 1985 · Male

(555) 123-4567

j.rodriguez@email.com

Miami, FL 33101

Insurance

Blue Cross Blue Shield FL

Member ID: XJK987654321

Group: GRP-5500

Effective: Jan 1, 2025

Primary
Verified Eligible
Deductible remaining$320.00Copay$40.00Coinsurance20%OOP remaining$3,200.00

Medical Codes

28296

Bunionectomy with osteotomy

Qty: 1

$4,200.00

Verified
28299

Hallux valgus correction

Qty: 1

Modifier 59 recommended for distinct procedures
Fix: Open the claim, go to the second procedure line, and add modifier 59. This tells the payer that both procedures were performed separately and should each be reimbursed.

$3,100.00

Verified

Attachments (1)

bunion_preop_xray.pdf

3.1 MB·
imaging
Auto-detected
uploaded

Treatment Notes

Patient presented with moderate hallux valgus deformity. Bunionectomy performed with distal metatarsal osteotomy.

Activity Timeline

Encounter recorded

Jan 28, 2026 · System

Codes auto-extracted

Jan 29, 2026 · Claimly Engine

Moved to review queue

Jan 29, 2026 · System

Clean Claim Score

94
A
medium

Consider adding modifier 59 for multiple procedures

💡 Add modifier 59 to the second procedure line to indicate that both procedures were distinct and not incidental to each other. Without it, the payer may bundle them together and reduce or deny the additional charge.

low

Treatment notes could include more functional limitation details

💡 Update the treatment notes to include how the condition limits the patient's daily activities — for example, difficulty walking or pain with footwear. This strengthens the medical necessity documentation if the payer reviews the claim.

0 Critical0 High1 Med

Claimly Denial Prediction

Low risk

Claimly Suggestions

Consider modifier 59 for procedure pair

Billing Summary

Procedure Charge$7,300.00
Insurance Pays$5,840.00
Patient Responsibility$1,460.00
9 days pending

Risk Assessment

18
LOW RISK

Clean claim history with BCBS

Predicted Payment$4,672.00
Expected DateMar 10, 2026
Confidence Interval$4,200.00 $5,100.00

Actions

Agent Reasoning