Charged
$1,093.25
$1,093.25 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2024-12-15illness from the same day
- Status
- Closedlast billed 2024-12-15 · type 2
- Diagnoses
- diagnosis concept Otitis mediacode 65363002
- Billed for
- medication concept Ibuprofen 200 MG Oral Tabletcode 310965
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-ec61-957fccf8f355