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Claim

Claim for Xuan Collier — 2016-09-18

One bill, raised by a visit or a prescription.

Charged
$12,810.04
$12,810.04 paid

The claim

Serviced
2016-09-18illness from the same day
Status
Closedlast billed 2016-09-18 · type 2
Diagnoses
diagnosis concept Normal pregnancycode 72892002

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 002d4429-df26-5797-4d90-af2a31b21608