Charged
$742.77
$742.77 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2021-04-30illness from the same day
- Status
- Closedlast billed 2021-04-30 · type 2
- Billed for
- medication concept {28 (norethindrone 0.35 MG Oral Tablet) } Pack [Jolivette 28 Day]code 757594
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-8e46-52f8fb02094d