Charged
$1,087.07
$1,087.07 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2020-05-05illness from the same day
- Status
- Closedlast billed 2020-05-05 · type 2
- Billed for
- medication concept {28 (norethindrone 0.35 MG Oral Tablet) } Pack [Errin 28 Day]code 831533
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-17e9-d1adc3b26c4e