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Claim

Claim for Dora Violet Okuneva — 2021-02-13

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$291.66
$291.66 paid

The claim

Patient
patient Dora Violet Okuneva
Visit
visit Administration of vaccine to produce active immunity
Serviced
2021-02-13illness from the same day
Status
Closedlast billed 2021-02-13 · type 2

Settlement

Coverage
payer Anthem no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 001727b6-dbde-2493-6ffe-580dfa9bbffc