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

Claim CLM-2026173004

Catherina Lang MRN-101411 Payer Cigna Service Feb 28, 2026 Status paid
$36.76
billed
$25.73
allowed
$0.00
paid
$25.73
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
amLODIPine 2.5 MG Oral Tablet308136 $0.00 $0.00
Therapeutic injection/administration96372 $35.39 $24.77