Claim for Pok Shane Strosin — 2012-06-04

Patient

patient Pok Shane Strosin

Visit

visit Encounter for problem

Serviced

2012-06-04illness from the same day

Status

Closedlast billed 2012-06-04 · type 2

Billed for

medication concept Loratadine 5 MG Chewable Tabletcode 665078

Coverage

payer Anthem no secondary insurer

Outstanding

Nothing outstandingsettled in full