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Claim CLM-40021
PaidClient
Program
Housing
Payer
Medicaid — WA
Service Date Range
Aug 25, 2026 – Aug 25, 2026
Total Units
6
Billed
$132
Paid
$132
Created
Aug 28, 2026
Submitted
Aug 29, 2026
| Note ID | Client | Service Date | Code | Units | Amount | Staff | Approval Date |
|---|---|---|---|---|---|---|---|
| CN-26001 | Aaliyah Adams | Aug 25, 2026 | H0043 | 6 | $132 | Dana Reyes | Aug 25, 2026 |
| Totals | 6 | $132 | |||||