Charged
$602.02
$602.02 paid
The claim
- Patient
- patient Seymour Lyle Kuhlman
- Serviced
- 2024-07-19illness from the same day
- Status
- Closedlast billed 2024-07-19 · type 2
- Diagnoses
- diagnosis concept Otitis mediacode 65363002
- Billed for
- medication concept Ibuprofen 100 MG Oral Tabletcode 198405
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
000cb105-0f6a-e089-7d56-8689e7c15307