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In context Bulah Peg Cartwright MRN-101222 · born 1992-09-29 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-2026146002

Bulah Peg Cartwright MRN-101222 Payer Humana Service Mar 2, 2026 Status paid
$16,911.26
billed
$15,427.19
allowed
$13,414.94
paid
$2,012.25
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Prenatal visit (regime/therapy)424619006 $0.00 $0.00
Evaluation of uterine fundal height (procedure)274804006 $7,786.96 $5,450.87
Auscultation of the fetal heart (procedure)225158009 $8,981.72 $6,287.20