Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2011-07-28illness from the same day
- Status
- Closedlast billed 2011-07-28 · type 2
- Diagnoses
- diagnosis concept Atopic dermatitiscode 24079001
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-2008-6b29bf4ba38e