Claim for Dora Violet Okuneva — 2019-06-22

Patient

patient Dora Violet Okuneva

Visit

visit General examination of patient

Serviced

2019-06-22illness from the same day

Status

Closedlast billed 2019-06-22 · type 1

Diagnoses

diagnosis concept Medication review duecode 314529007diagnosis concept Gingivitis · 66383009

Billed for

procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment of anxiety · 710841007procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100

2 more billed codes

procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001procedure concept Patient referral for dental care · 103697008

Coverage

payer Anthem no secondary insurer

Outstanding

Nothing outstandingsettled in full