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Claim CLM-40024

Accepted
Program
Employment
Payer
DBH — Employment Grant
Service Date Range
Feb 3, 2025 – Feb 3, 2025
Total Units
2
Billed
$64
Paid
Created
Feb 6, 2025
Submitted
Feb 7, 2025
Note IDClientService DateCodeUnitsAmountStaffApproval Date
CN-20255Isabella RussoFeb 3, 2025H20232$64Dana ReyesFeb 3, 2025
Totals2$64