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William Tsosie MRN-204175 · born 2015-01-23 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0104599

William Tsosie MRN-204175 Payer Medicaid Service Nov 10, 2025 Status pending
$20.18
billed
$12.67
allowed
$0.00
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Complete blood count85025 $20.18 $0.00

Denial risk — 17/99

Scored by the denial-risk model before adjudication. Advisory only — nothing blocks on a score; the factors below cite the adjudication history they came from.

FactorWeight
Medicaid denial history: 1589 of 8709 claims denied (18%) +0.51
Service 85025 (Complete blood count): 541 of 5958 historically denied (9%) -0.04