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Billing

Claim lines for the pay period, priced from each agreement. Signed, live-captured visits are ready; the rest are held until the evidence is in.
Pay period · Jul 12 – Jul 25, 2026
$105.60 ready$0.00 on hold$105.60 total
Service codeAll30H201410H20152S51304S513510S51502T20192Individual community living support (ICLS) · $105.60 of $1,975.40

Ready to bill

Grouped by client. One row per note becomes one 837P service line.

2 lines
Casey Dahl2 lines · $105.60
ServiceCodeUnitsRateAmountRendered by
Individual community living support (ICLS)H20158$6.60$52.80Maria Peters
Individual community living support (ICLS)H20158$6.60$52.80Maria Peters

On hold

Fix these before the claim run

0

Nothing held.

Claim run

837P generation and the MN-ITS submission are the next milestone. The lines above are already shaped for it: provider tax ID, PMI, HCPCS with modifiers, units, rendering NPI or UMPI, and dates of service.

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