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Claim

Claim for Dora Violet Okuneva — 2019-05-27

One bill, raised by a visit or a prescription.

Charged
$17.57
$17.57 paid

The claim

Serviced
2019-05-27illness from 2016-09-23
Status
Closedlast billed 2019-05-27 · type 2
Diagnoses
diagnosis concept Lupus erythematosuscode 200936003

Settlement

Coverage
payer Cigna Health no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 001727b6-dbde-2493-31a3-286fae40fc74