Charged
$74.92
$74.92 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2014-08-19illness from 2014-01-31
- Status
- Closedlast billed 2014-08-19 · type 2
- Diagnoses
- diagnosis concept Chronic paincode 82423001
- Billed for
- medication concept Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tabletcode 856987
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-f4e7-539708042396