Date 01/05/2023 Code 10002 Code 10001 Chargges 545.00 275.00 Contractual allowance 100 285 Adjustment 0.00 0.00 Allowable

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Date 01/05/2023 Code 10002 Code 10001 Chargges 545.00 275.00 Contractual allowance 100 285 Adjustment 0.00 0.00 Allowable charge 175.00 260.00 Co insurance 0.00 0.00 Payment 175.00 0.00 What is the total charges? What is the amount denied? What is the amount recovered

Posted Date: May 19, 2024 02:01 AM

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Date 01/05/2023 Code 10002 Code 10001 Chargges 545.00 275.00 Contractual allowance 100 285 Adjustment 0.00 0.00 Allowable

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