Charged
$98.11
$98.11 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2019-05-11illness from the same day
- Status
- Closedlast billed 2019-05-11 · type 2
- Billed for
- medication concept 1 ML medroxyprogesterone acetate 150 MG/ML Injectioncode 1000126
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-7a5a-072109a6819d