Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2019-11-18illness from the same day
- Status
- Closedlast billed 2019-11-18 · type 1
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001
1 more billed code
procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-474c-1c7f4e5f0f0e