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Claim CLM-40022
PaidClient
Program
Housing
Payer
DSHS — Housing Voucher
Service Date Range
Aug 26, 2026 – Aug 26, 2026
Total Units
4
Billed
$88
Paid
$88
Created
Aug 29, 2026
Submitted
Aug 30, 2026
| Note ID | Client | Service Date | Code | Units | Amount | Staff | Approval Date |
|---|---|---|---|---|---|---|---|
| CN-26002 | Diego Fernandez | Aug 26, 2026 | H0043 | 4 | $88 | Jordan Lee | Aug 26, 2026 |
| Totals | 4 | $88 | |||||