Charged
$504.69
$504.69 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2018-11-07illness from the same day
- Status
- Closedlast billed 2018-11-07 · type 2
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Social isolation · 422650009diagnosis concept Stress · 73595000
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001
1 more billed code
procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-6ef3-d091aa39b779