Charged
$322.86
$322.86 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2012-06-04illness from the same day
- Status
- Closedlast billed 2012-06-04 · type 2
- Billed for
- medication concept NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injectorcode 1870230
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-42b9-570be600b29a