Charged
$107.05
$107.05 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2018-02-14illness from the same day
- Status
- Closedlast billed 2018-02-14 · type 1
- Diagnoses
- diagnosis concept Spraincode 384709000diagnosis concept Sprain of ankle · 44465007
- Billed for
- medication concept Acetaminophen 325 MG Oral Tabletcode 313782
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-2a1f-0143dcbde534