Claim CLM-2026172007
$142.58
billed
$99.81
allowed
$0.00
paid
$99.81
patient responsibility
Adjudication lines
| Service | Code | Billed | Paid |
|---|---|---|---|
| Follow-up consultation (procedure) | 281036007 | $0.00 | $0.00 |
| Service | Code | Billed | Paid |
|---|---|---|---|
| Follow-up consultation (procedure) | 281036007 | $0.00 | $0.00 |