Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Xuan Collier
- Visit
- visit Well child visit
- Serviced
- 2012-05-06illness from the same day
- Status
- Closedlast billed 2012-05-06 · type 1
- Diagnoses
- diagnosis concept Risk activity involvementcode 160968000
- Billed for
- procedure concept Depression screeningcode 171207006procedure concept Depression screening using Patient Health Questionnaire Nine Item score · 715252007procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test · 868187001
1 more billed code
procedure concept Health risks education · 370995009
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-77ca-fa009b2d64fc