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Adaeze Bianchi MRN-225994 · born 1983-09-09 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0138539

Adaeze Bianchi MRN-225994 Payer Medicaid Service Mar 17, 2024 Status paid
$149.87
billed
$86.07
allowed
$103.54
paid
$0.00
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Chest radiograph, 2 views71046 $149.87 $103.54