Charged
$96.51
$96.51 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2021-07-10illness from 2021-06-26
- Status
- Closedlast billed 2021-07-10 · type 2
- Billed for
- procedure concept limited oral evaluation, problem focusedcode D0140
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-b2b0-600358b484ed