Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2023-07-01illness from the same day
- Status
- Closedlast billed 2023-07-01 · type 1
- Diagnoses
- diagnosis concept Reports of violence in the environmentcode 424393004
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100procedure concept Screening for drug abuse · 713106006
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-2416-f22a7234b9b6