Charged
$30.44
$30.44 paid
The claim
- Patient
- patient Seymour Lyle Kuhlman
- Serviced
- 2024-07-19illness from the same day
- Status
- Closedlast billed 2024-07-19 · type 2
- Diagnoses
- diagnosis concept Otitis mediacode 65363002
- Billed for
- medication concept Amoxicillin 500 MG Oral Tabletcode 308192
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
000cb105-0f6a-e089-6b9c-74f6e2849193