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2025 Batch Claim: 2 - 25 line items
$500.00
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2022 Batch Claim: 2 - 25 line items
$500.00
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2022 Single Claim
$415.00
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2023 Batch Claim: 81+ line items
$687.00
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2023 Batch Claim: 51 - 75 line items
$638.00
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2023 Batch Claim: 26 - 50 line items
$589.00
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2023 Batch Claim: 2 - 25 line items
$540.00
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2023 Single Claim
$445.00
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2024 Batch Claim: 76 - 100 line items
$825.00
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2024 Batch Claim: 51 - 75 line items
$750.00
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2024 Batch Claim: 26 - 50 line items
$675.00
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2024 Batch Claim: 2 - 25 line items
$600.00
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2024 Single Claim
$485.00
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