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CLM-2026-0013

Pending Review

Sharing Need · OB/GYN Specialists · Apr 3, 2026

Billed

$8,500.00

Allowed

$7,200.00

Approved

Member Resp.

Claim Details
Provider
OB/GYN Specialists
Service Date
Apr 3, 2026
Submitted
2 weeks ago
Claim Type
Sharing Need
Source
portal
Priority
High
Review Reason
Obstetric care exceeds threshold
Flags
high-dollar
Diagnosis Codes
O80Encounter for full-term uncomplicated delivery(Principal)
Reviewer Action