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In context Carmen Kang MRN-218872 · born 1986-06-19 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0127531

Carmen Kang MRN-218872 Payer Cigna Service Aug 26, 2026 Status paid
$281.38
billed
$251.47
allowed
$162.00
paid
$34.36
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Office visit, new patient99204 $281.38 $162.00