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Date 01/05/2023 Code 10002 Code 10001 Chargges 3700.00 2945.00 Contractual allowance 1245 997 Adjustment 0.00 0.00 Allowable charge 2455.00 1948.00 Co insurance 0.00 0.00 Payment
Date 01/05/2023 Code 10002 Code 10001 Chargges 3700.00 2945.00 Contractual allowance 1245 997 Adjustment 0.00 0.00 Allowable charge 2455.00 1948.00 Co insurance 0.00 0.00 Payment 0.00 0.00 What is the total charges? What is the amount denied? What is the amount recovered
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