Charged
$39,105.09
$39,105.09 paid
The claim
- Patient
- patient Dora Violet Okuneva
- Serviced
- 2018-08-18illness from the same day
- Status
- Closedlast billed 2018-08-18 · type 2
- Diagnoses
- diagnosis concept Normal pregnancycode 72892002
- Billed for
- procedure concept Standard pregnancy testcode 252160004procedure concept Ultrasound scan for fetal viability · 169230002procedure concept Evaluation of uterine fundal height · 274804006procedure concept Auscultation of the fetal heart · 225158009
16 more billed codes
procedure concept Blood group typing · 44608003procedure concept Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differential · 104091002procedure concept Hepatitis B surface antigen measurement · 47758006procedure concept Human immunodeficiency virus antigen test · 31676001procedure concept Chlamydia antigen test · 310861008procedure concept Gonorrhea infection titer test · 165829005procedure concept Syphilis infectious titer test · 269828009procedure concept Urine culture · 117010004procedure concept Cytopathology procedure, preparation of smear, genital source · 90226004procedure concept Urine screening test for diabetes · 395123002procedure concept Hepatitis C antibody, confirmatory test · 104375008procedure concept Rubella screening test · 314098000procedure concept Measurement of Varicella-zoster virus antibody · 104326007procedure concept Skin test for tuberculosis, Tine test · 28163009procedure concept Urinalysis, protein, qualitative · 60218003procedure concept Physical examination procedure · 5880005
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
001727b6-dbde-2493-f09c-c3d6213f64a1