SYNTHETIC HOSPITAL CLINICAL SOURCE. NOT A REAL PATIENT RECORD.
Document: CLN-000037
Claim number: MER-000037
Specialty: Radiology and imaging
Author: Okafor, Chidi MD
Recorded: 2026-04-19

SYNTHETIC CLINICAL SOURCE. NOT A REAL PATIENT RECORD. Claim MER-000037, patient token SYN-PT-X8LPSZX05, service date 2026-04-19. Examination: Magnetic resonance imaging, lumbar spine, without contrast material (72148). Clinical indication Z12.31. Technique as per department protocol. Findings are described in the diagnostic section of the report. Impression recorded by Okafor, Chidi MD. No prior comparison study is referenced. 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.
