Applied practice — L3

Claim review

Review the claim and flag every field you think would stop it being paid. Precision counts: flagging everything lowers your score.

Claim lines

Stated total: 1110.00

Evidence: the record and the member card

Clinical record

The patient attended for a complaint of three weeks' standing. An extended initial assessment was performed and the findings recorded. Two short follow-ups were arranged over the following month. Nothing in the record indicates that diagnostic imaging was performed at this visit. The documented diagnosis is specific and recorded in detail in the record.

Member card

Payer on card
Nile Health Assurance
Date of birth on card
1988-03-14
Policy effective from
2026-02-01
Name on card
Layla Hassan
Policy number on card
POL-2026-88134
0 fields flagged
Entirely fictional training data: the patient, facility, payer and codes are all invented. Not medical, billing, clinical, legal or regulatory advice.