Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2022-05-02illness from the same day
- Status
- Closedlast billed 2022-05-02 · type 1
- Diagnoses
- diagnosis concept Essential hypertensioncode 59621000diagnosis concept Stress · 73595000
- Billed for
- medication concept lisinopril 10 MG Oral Tabletcode 314076
Settlement
- Coverage
- payer Anthem no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-be38-90fc3a14a079