Charged
$4,382.21
$4,382.21 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2019-08-17illness from the same day
- Status
- Closedlast billed 2019-08-17 · 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-2493-4aeb-863b6b2b44a0