Claim for Dora Violet Okuneva — 2022-04-25

Patient

patient Dora Violet Okuneva

Visit

visit Consultation for treatment

Serviced

2022-04-25illness from the same day

Status

Closedlast billed 2022-04-25 · type 2

Billed for

medication concept {5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate 2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Natazia 28 Day]code 978950

Coverage

payer Anthem no secondary insurer

Outstanding

Nothing outstandingsettled in full