Charged
$125.69
$125.69 paid
The claim
- Patient
- patient Seymour Lyle Kuhlman
- Serviced
- 2023-02-05illness from the same day
- Status
- Closedlast billed 2023-02-05 · type 2
- Diagnoses
- diagnosis concept Viral sinusitiscode 444814009
- Billed for
- medication concept Amoxicillin 250 MG / Clavulanate 125 MG Oral Tabletcode 562251
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
000cb105-0f6a-e089-de46-8236f1d9e131