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ELITE PRAXIS
Atlanta Cardiology | RCM Staff View
Billing Queues
Scrub Edits 8
Ready for Billing 14

Workqueue: Scrub Edits

Patient IDDOSPrimary CPTEdit ReasonAction
PT-1099405/26/2699204 Modifier 25 Required

Claim ID: PT-10994

Current Status: Hold - Scrub Edit (Prev: Ready for Billing)
Total Charges: $295.00
Patient & Insurance Demographics
Patient Name
Patient DOB
Primary Payer
Subscriber ID
Release of Info / AOB
Header Level Providers & References
Billing Provider Name
Billing NPI / Tax ID
Referring Provider / NPI
Prior Authorization / Referral
Original Reference # (Corrected Claim)
Diagnoses (ICD-10)
A.
B.
C.
Service Lines (Box 24) Claim Form Type: CMS-1500
DOS
(24A)		 POS
(24B)		 CPT/HCPCS
(24D)		 Mods
(24D)		 Diag Ptr
(24E)		 Charges
(24F)		 Units
(24G)		 Rend NPI
(24J)
Billing & A/R Action Center

Automated Scrub Edit

Reason: NCCI Edit Flag. E/M code 99204 billed with separate procedure 93000. Modifier 25 required on line 1.

Claim Notes & Audit History
05/28/2026 10:14 AM - SYSTEM ENGINE (Automated)
Claim failed NCCI automated scrub. Routed to "Scrub Edits" workqueue.
05/26/2026 05:00 PM - DAVID MILLER (Biller)
Claim generated from EMR encounter. Status set to Ready for Billing.
Add Note / Action Taken

Manual Compliance Auditor

Awaiting claim submission...

Practice Staff

NameEmailRoleStatus
Sarah Jenkinss.jenkins@atlantacardio.comPractice ManagerActive