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Claim

Claim for Leigh Weston Lubowitz — 2021-04-27

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$291.66
$291.66 paid

The claim

Patient
patient Leigh Weston Lubowitz
Visit
visit Administration of vaccine to produce active immunity
Serviced
2021-04-27illness from the same day
Status
Closedlast billed 2021-04-27 · type 2

Settlement

Coverage
payer Cigna Health no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 0031d341-6ceb-7483-489c-27c833f68840