Charged
$127.17
$127.17 paid
The claim
- Patient
- patient Bo Gino Murazik
- Visit
- visit Hospital admission
- Serviced
- 2015-06-15illness from the same day
- Status
- Closedlast billed 2015-06-16 · type 2
- Diagnoses
- diagnosis concept Dental cariescode 80967001
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-70c7-6db0057debc2