Charged
$188.22
$188.22 paid
The claim
- Patient
- patient Seymour Lyle Kuhlman
- Serviced
- 2022-07-07illness from the same day
- Status
- Closedlast billed 2022-07-07 · type 2
- Diagnoses
- diagnosis concept Otitis mediacode 65363002
- Billed for
- medication concept Ibuprofen 100 MG Oral Tabletcode 198405
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
000cb105-0f6a-e089-6bd9-92e1b0bda3c8