Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2019-06-26illness from the same day
- Status
- Closedlast billed 2019-06-26 · type 1
- Diagnoses
- diagnosis concept Victim of intimate partner abusecode 706893006
- Billed for
- medication concept tramadol hydrochloride 50 MG Oral Tabletcode 835603
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-1cda-6147301ee096