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In context Joshua James Katz MRN-209423 · born 1966-11-24 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0112748

Joshua James Katz MRN-209423 Payer UnitedHealthcare Service Jun 14, 2025 Status paid
$92.83
billed
$52.86
allowed
$66.37
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Comprehensive metabolic panel80053 $46.30 $34.18
Electrocardiogram, routine93000 $46.53 $32.19