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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
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Jamal Jefferson-Santos MRN-202983 · born 2018-11-15 ✦ AI Ask ✦ AI Ambient note Chart
← Claims & billing

Claim CLM-G0102755

Jamal Jefferson-Santos MRN-202983 Payer Medicaid Service Oct 12, 2025 Status denied
$149.11
billed
$109.22
allowed
$0.00
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Office visit, established patient, level 499214 $149.11 $82.14

✦ AI Denial autopsy

The denial-autopsy assistant reads this claim, its lines, the payer's real denial history for these codes, and the patient's chart facts — then writes the root cause, drafts the appeal, and names the prevention. One analysis per claim, cached for every later viewer; every inference audited.