Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2013-12-03illness from the same day
- Status
- Closedlast billed 2013-12-03 · type 2
- Diagnoses
- diagnosis concept Acute infective cystitiscode 307426000
- Billed for
- medication concept ciprofloxacin 250 MG Oral Tabletcode 197511
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-a859-3b71e19260a1