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CLM-2026-0007

Pending Review

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

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
3 weeks ago
Claim Type
Sharing Need
Source
edi
Priority
Medium
Review Reason
Specialist visit requires manual review
Flags
specialist
Diagnosis Codes
J45.20— Mild intermittent asthma, uncomplicated(Principal)
Reviewer Action