Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 1994-01-08illness from the same day
- Status
- Closedlast billed 1994-01-08 · type 2
- Diagnoses
- diagnosis concept Limited social contactcode 423315002
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-9227-6959be7592bb