Charged
$913.13
$913.13 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2026-08-05illness from the same day
- Status
- Closedlast billed 2026-08-05 · type 1
- Diagnoses
- diagnosis concept Stresscode 73595000diagnosis concept Gingivitis · 66383009
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment of anxiety · 710841007procedure concept Screening for domestic abuse · 866148006procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Screening for drug abuse · 713106006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-b81d-ceca7a8572b2