Charged
$1,212.29
$1,212.29 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2019-11-16illness from the same day
- Status
- Closedlast billed 2019-11-16 · type 2
- Billed for
- procedure concept Intramuscular injectioncode 76601001
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-36c6-132a2fd41dce