Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2006-09-25illness from the same day
- Status
- Closedlast billed 2006-09-25 · type 2
- Diagnoses
- diagnosis concept Illness, unspecifiedcode R69
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-cc6e-234b1d8f85be