Charged
$846.78
$846.78 paid
The claim
- Patient
- patient Xuan Collier
- Visit
- visit Well child visit
- Serviced
- 2014-05-18illness from the same day
- Status
- Closedlast billed 2014-05-18 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of anxiety · 710841007procedure concept Depression screening · 171207006procedure concept Depression screening using Patient Health Questionnaire Nine Item score · 715252007
3 more billed codes
procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test · 868187001procedure concept Anticipatory guidance · 386516004
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-543c-f2790669975e