Charged
$5,128.80
$5,128.80 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2014-04-03illness from the same day
- Status
- Closedlast billed 2014-04-03 · type 2
- Diagnoses
- diagnosis concept Acute infective cystitiscode 307426000
- Billed for
- procedure concept History takingcode 84100007procedure concept Discussion about signs and symptoms · 223470000procedure concept History and physical examination, limited · 67879005procedure concept Evaluation procedure · 386053000
4 more billed codes
procedure concept Standard pregnancy test · 252160004procedure concept Urine specimen collection · 57617002procedure concept Urinalysis with reflex to microscopy and culture · 441550005procedure concept Antibiotic therapy · 281789004
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-db4c-2fe1c14f4eca