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Rachel Vera Reddy MRN-218684 · born 1990-03-22 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0127247

Rachel Vera Reddy MRN-218684 Payer Blue Cross Blue Shield Service Oct 6, 2023 Status paid
$50.74
billed
$29.80
allowed
$41.47
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Electrocardiogram, routine93000 $50.74 $41.47