Charged
$528.30
$528.30 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2023-12-23illness from the same day
- Status
- Closedlast billed 2023-12-23 · type 2
- Diagnoses
- diagnosis concept Sinusitiscode 36971009
- Billed for
- medication concept Amoxicillin 250 MG / Clavulanate 125 MG Oral Tabletcode 562251
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-e246-4682f24e4e70