Charged
$1,120.64
$1,120.64 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Visit
- visit Well child visit
- Serviced
- 2021-10-03illness from the same day
- Status
- Closedlast billed 2021-10-03 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-c021-0b13da99646a