φ(ai) PHI AI
DocumentationDocs
Repository
In context Aarav Weber MRN-228048 · born 1964-12-28 ✦ AI Ask ✦ AI Ambient note Chart

Claim CLM-G0141707

Aarav Weber MRN-228048 Payer Humana Service May 26, 2025 Status paid
$85.88
billed
$53.19
allowed
$50.80
paid
$0.75
patient responsibility

Adjudication lines

ServiceCodeBilled Paid
Chest radiograph, 2 views71046 $85.88 $50.80