Charged
$195.21
$195.21 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2024-03-27illness from the same day
- Status
- Closedlast billed 2024-03-27 · type 1
- Diagnoses
- diagnosis concept Fracture of bonecode 125605004diagnosis concept Fracture of clavicle · 58150001
- Billed for
- medication concept Naproxen sodium 220 MG Oral Tabletcode 849574
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-e05d-0dbe3022c31e