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| Page standards status: Informative |
Profile: QICore ClaimResponse
status: Active
type: Vision
use: Preauthorization
created: 2018-02-24
insurer: Organization Health Level Seven International
requestor: Practitioner Adam Careful
outcome: Queued
item
itemSequence: 1
adjudication
category: Submitted Amount
Amounts
Value Currency 235.40 United States dollar