Claims

CLM-2026-0007

Pending Review

Sharing Need · Mar 28, 2026 · Children's Specialty Clinic

Billed

$6,200.00

Allowed

$5,400.00

Approved

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Member Resp.

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Claim Details
Provider
Children's Specialty Clinic
Service Date
Mar 28, 2026
Submitted
Mar 29, 2026
Auto-Adjudicated
No
Flags
specialist
Member

Michael Patel

MBR-10010

Active
Diagnosis Codes
J45.20— Mild intermittent asthma, uncomplicated(Principal)
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