SYNTHETIC HOSPITAL CLINICAL SOURCE. NOT A REAL PATIENT RECORD.
Document: CLN-000035
Claim number: MER-000035
Specialty: Pulmonology
Author: Chen, Daniel MD
Recorded: 2026-07-02

SYNTHETIC CLINICAL SOURCE. NOT A REAL PATIENT RECORD. Claim MER-000035, patient token SYN-PT-0U03UJ8PX, service date 2026-07-01. Encounter note, Pulmonology. Assessment J18.9 and J18.9. Plan included Diffusing capacity, carbon monoxide, membrane (94729). Conservative management over the preceding period is summarised in the note. Signed Chen, Daniel MD. This record is fictional source material for document to claim linkage. It is not a coverage determination and asserts no payment entitlement.

REVIEW REQUIREMENTS
A linked document is not a verified clinical criterion. A qualified reviewer must confirm that
this record satisfies the payer requirement in force on the service date before any appeal.
