Charged
$0.97
$0.97 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2018-05-29illness from the same day
- Status
- Closedlast billed 2018-05-29 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Stress · 73595000diagnosis concept Reports of violence in the environment · 424393004diagnosis concept Gingivitis · 66383009
- Billed for
- medication concept Hydrochlorothiazide 25 MG Oral Tabletcode 310798
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-adb2-bd653795bac7