Charged
$23.81
$23.81 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2025-04-09illness from the same day
- Status
- Closedlast billed 2025-04-09 · type 2
- Billed for
- medication concept levonorgestrel 0.000729 MG/HR Intrauterine System [Kyleena]code 1856546
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-c253-e35f9a213e2b