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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
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System documentation Implementation & setup guide Feature documentation Model documentation System architecture EMR connections Emulators & non-PHI setup Compliance & responsibility Attribution
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William Tsosie MRN-204175 · born 2015-01-23 ✦ AI Ask ✦ AI Ambient note Chart
← Claims & billing

Claim CLM-G0104600

William Tsosie MRN-204175 Payer Medicaid Service Jun 6, 2025 Status denied
$385.32
billed
$335.38
allowed
$0.00
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Office visit, established patient, level 499214 $183.08 $95.23
Chest radiograph, 2 views71046 $147.81 $75.76
Influenza vaccine administration90686 $54.43 $29.90

✦ 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.