Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2012-05-17illness from the same day
- Status
- Closedlast billed 2012-05-17 · type 2
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-d611-3a84a3c48272