Claims

CLM-2026-0001

Approved

Sharing Need · Mar 15, 2026 · Dr. Sarah Mitchell

Billed

$4,500.00

Allowed

$3,800.00

Approved

$3,300.00

Member Resp.

$500.00

Claim Details
Provider
Dr. Sarah Mitchell
Service Date
Mar 15, 2026
Submitted
Mar 16, 2026
Auto-Adjudicated
Yes
Member

Sarah Johnson

MBR-10001

Active
Diagnosis Codes
J06.9Acute upper respiratory infection, unspecified(Principal)R05.9Cough, unspecified
Service Lines
#CPTDescriptionBilledAllowedApprovedMember Resp.
199214Office visit, established patient (level 4)$250.00$165.00$165.00$85.00
280053Comprehensive metabolic panel$150.00$22.00$22.00$128.00
371046Chest X-ray, 2 views$300.00$55.00$55.00$245.00
Adjudication Trace
Fee schedule lookup
Eligibility check
Pre-existing review
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