Claim BIL-005

Paid

Payment received. Claim cycle complete.

$145

Amount Billed

$120 paid

Service Details

Service DateFeb 27, 2026
CPT Code90837
ICD-10

Payer & Patient

PayerCigna
ProviderAmanda Foster, LPC-MHSP
Member IDU88204193

Claim Timeline

Note Signed Feb 28, 2026
Claim Submitted Mar 1, 2026
Payment Received Mar 4, 2026

EFT $120.00 + $25.00 copay collected