Claim submitted
Accepted by clearinghouse · Next: payer review
Accepted by clearinghouse
Forwarding to payer for adjudication
ETA 3–10 business days
| Claim ID | CLM-7F2A-19C4 |
| Payer | Aetna (Demo) |
| Member | •••• •••• 4821 |
| DOS | 2026-01-03 |
| Total | $140.00 |
Updated: —
Receipt: RCPT-8C10-44B2
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