Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Visit
- visit Urgent care clinic
- Serviced
- 2022-05-24illness from the same day
- Status
- Closedlast billed 2022-05-25 · type 1
- Diagnoses
- diagnosis concept Reports of violence in the environmentcode 424393004diagnosis concept Unhealthy alcohol drinking behavior · 10939881000119105diagnosis concept Gingivitis · 66383009
- Billed for
- medication concept Hydrochlorothiazide 25 MG Oral Tabletcode 310798
Settlement
- Coverage
- payer Medicare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-f65f-f35fa7275dfe