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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
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System documentation Implementation & setup guide Feature documentation Model documentation System architecture EMR connections Emulators & non-PHI setup Compliance & responsibility Attribution
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Catherina Lang MRN-101411 · born 1961-02-19 ✦ AI Ask ✦ AI Ambient note Chart
← Claims & billing

Claim CLM-2026173003

Catherina Lang MRN-101411 Payer Cigna Service Feb 28, 2026 Status paid
$41.11
billed
$28.78
allowed
$0.00
paid
$28.78
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
lisinopril 10 MG Oral Tablet314076 $0.00 $0.00
Therapeutic injection/administration96372 $40.20 $28.14