Claim for Bo Gino Murazik — 2019-12-09

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2019-12-09illness from the same day

Status

Closedlast billed 2019-12-09 · type 2

Diagnoses

diagnosis concept Encounter for general adult medical examination without abnormal findingscode Z00.00

Billed for

procedure concept topical application of fluoride, excluding varnishcode D1208procedure concept unspecified adjunctive procedure by report · D9999

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full