Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2006-08-19illness from the same day
- Status
- Closedlast billed 2006-08-19 · type 1
- Diagnoses
- diagnosis concept Full-time employmentcode 160903007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-81c6-d5300e15cfa0