Charged
$10,670.55
$10,670.55 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2024-08-31illness from the same day
- Status
- Closedlast billed 2024-08-31 · type 2
- Diagnoses
- diagnosis concept Normal pregnancycode 72892002
- Billed for
- procedure concept Standard pregnancy testcode 252160004procedure concept Ultrasound scan for fetal viability · 169230002
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-8646-54040feed00d