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Claim CLM-40022
SubmittedClient
Program
Housing
Payer
Medicaid — MD
Service Date Range
Feb 5, 2025 – Feb 5, 2025
Total Units
6
Billed
$132
Paid
—
Created
Feb 8, 2025
Submitted
Feb 9, 2025
| Note ID | Client | Service Date | Code | Units | Amount | Staff | Approval Date |
|---|---|---|---|---|---|---|---|
| CN-20265 | Diego Fernandez | Feb 5, 2025 | H0043 | 6 | $132 | Dana Reyes | Feb 5, 2025 |
| Totals | 6 | $132 | |||||