Charged
$1.91
$1.91 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2024-05-13illness from the same day
- Status
- Closedlast billed 2024-05-13 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Part-time employment · 160904001
- Billed for
- medication concept Hydrochlorothiazide 25 MG Oral Tabletcode 310798
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-0bff-192201bb56da