Charged
$867.60
$867.60 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2018-03-28illness from the same day
- Status
- Closedlast billed 2018-03-28 · type 2
- Billed for
- medication concept levonorgestrel 0.000813 MG/HR Intrauterine System [Liletta]code 1605257
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-95e5-50598157f983