Charged
$17.57
$17.57 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2019-05-27illness from 2016-09-23
- Status
- Closedlast billed 2019-05-27 · type 2
- Diagnoses
- diagnosis concept Lupus erythematosuscode 200936003
- Billed for
- medication concept predniSONE 20 MG Oral Tabletcode 312615
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-31a3-286fae40fc74