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5.3b EMRUSR 08-13-2024
Sum of Total AR Agency Provider B Grand Total 1 ERU E 3,642.01 3,642.01 2ERUW 203.09 203.09 3CTYS 357.63 357.63 4CTYT 302.12 302.12 6CTYF 520.58 520.58 7CTYS 70.07 70.07 Grand Total 5,095.50 5,095.50