Claim BIL-012

Ready

Note signed and validated. Ready for submission to payer.

$120

Amount Billed

0

Service Details

Service DateMar 2, 2026
CPT Code90834
ICD-10
Modifier95

Payer & Patient

PayerBlueCross BlueShield of TN
ProviderMarcus Webb, LCSW
Member IDXKN991037284

Claim Timeline

Note Signed Mar 3, 2026
Awaiting Co-Signature Mar 3, 2026