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Catherina Lang MRN-101411 · born 1961-02-19 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-2026173000

Catherina Lang MRN-101411 Payer Cigna Service Mar 1, 2026 Status paid
$41.08
billed
$28.76
allowed
$0.00
paid
$28.76
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Simvastatin 10 MG Oral Tablet314231 $0.00 $0.00
Therapeutic injection/administration96372 $40.63 $28.44