Charged
$16,060.37
$16,060.37 paid
The claim
- Patient
- patient Xuan Collier
- Visit
- visit Prenatal visit
- Serviced
- 2016-11-13illness from the same day
- Status
- Closedlast billed 2016-11-13 · type 2
- Diagnoses
- diagnosis concept Normal pregnancycode 72892002
- Billed for
- procedure concept Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differentialcode 104091002procedure concept Administration of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens · 399014008procedure concept Urine screening for glucose · 268556000procedure concept Evaluation of uterine fundal height · 274804006
1 more billed code
procedure concept Auscultation of the fetal heart · 225158009
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-b857-8af6883b638e