Charged
$96.81
$96.81 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2021-01-05illness from the same day
- Status
- Closedlast billed 2021-01-05 · type 2
- Diagnoses
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2code 840544004diagnosis concept Fatigue · 84229001diagnosis concept Loss of taste · 36955009diagnosis concept Disease caused by severe acute respiratory syndrome coronavirus 2 · 840539006
- Billed for
- procedure concept Face maskcode 261352009
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-3581-56844cb78d9f