Claim for Nona Samara Gleichner — 2017-06-14

Patient

patient Nona Samara Gleichner

Visit

visit General examination of patient

Serviced

2017-06-14illness from the same day

Status

Closedlast billed 2017-06-14 · type 1

Billed for

medication concept Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]code 1049625

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full