Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2013-12-29illness from the same day
- Status
- Closedlast billed 2013-12-29 · type 2
- Diagnoses
- diagnosis concept Viral sinusitiscode 444814009diagnosis concept Recurrent urinary tract infection · 197927001diagnosis concept Acute infective cystitis · 307426000
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-623a-f8dc7f5022c9