Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2019-03-31illness from the same day
- Status
- Closedlast billed 2019-03-31 · type 2
- Diagnoses
- diagnosis concept Nonproliferative diabetic retinopathy due to type II diabetes mellituscode 1551000119108
- Billed for
- medication concept tropicamide 5 MG/ML Ophthalmic Solutioncode 313521
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-9433-3e3edcbbedcb