Aarav WeberMRN-228048Payer HumanaService May 26, 2025Status paid
$85.88
billed
$53.19
allowed
$50.80
paid
$0.75
patient responsibility
Adjudication lines
Service
Code
Billed
Paid
Chest radiograph, 2 views
71046
$85.88
$50.80
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