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Claim CLM-40025
PaidClient
Program
Employment
Payer
Medicaid — WA
Service Date Range
Aug 24, 2026 – Aug 24, 2026
Total Units
5
Billed
$140
Paid
$140
Created
Aug 27, 2026
Submitted
Aug 28, 2026
| Note ID | Client | Service Date | Code | Units | Amount | Staff | Approval Date |
|---|---|---|---|---|---|---|---|
| CN-26005 | Maya Edwards | Aug 24, 2026 | H2015 | 5 | $140 | Alicia Brown | Aug 24, 2026 |
| Totals | 5 | $140 | |||||