Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2024-07-24illness from the same day
- Status
- Closedlast billed 2024-07-24 · type 1
- Diagnoses
- diagnosis concept Part-time employmentcode 160904001diagnosis concept Severe anxiety (panic) · 80583007
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment of anxiety · 710841007procedure concept Screening for domestic abuse · 866148006procedure concept Depression screening · 171207006
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-7221-9af8-bfbb9dc46af5