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Claim

Claim for Xuan Collier — 2012-05-06

One bill, raised by a visit or a prescription.

Charged
$641.13
$641.13 paid

The claim

Serviced
2012-05-06illness from the same day
Status
Closedlast billed 2012-05-06 · type 1

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 002d4429-df26-5797-77ca-fa009b2d64fc