Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2021-11-21illness from 2016-09-23
- Status
- Closedlast billed 2021-11-21 · type 2
- Diagnoses
- diagnosis concept Lupus erythematosuscode 200936003
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-e952-68408de83218