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Claim CLM-40026
SubmittedClient
Program
Employment
Payer
DVR — Employment Grant
Service Date Range
Aug 25, 2026 – Aug 25, 2026
Total Units
4
Billed
$112
Paid
—
Created
Aug 28, 2026
Submitted
Aug 29, 2026
| Note ID | Client | Service Date | Code | Units | Amount | Staff | Approval Date |
|---|---|---|---|---|---|---|---|
| CN-26006 | Marcus Bell | Aug 25, 2026 | H2015 | 4 | $112 | Marcus Holt | Aug 25, 2026 |
| Totals | 4 | $112 | |||||