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Claim

Claim for Caitlyn Elli Kuhlman — 2019-06-04

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$1,080.81
$1,080.81 paid

The claim

Patient
patient Caitlyn Elli Kuhlman
Visit
visit General examination of patient
Serviced
2019-06-04illness from the same day
Status
Closedlast billed 2019-06-05 · type 1
Diagnoses
diagnosis concept Medication review duecode 314529007
Billed for
medication concept insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]code 106892

Settlement

Coverage
Self-pay no insurer on this claim
Outstanding
Nothing outstandingsettled in full
Record id 0037332a-29d1-a298-0e55-e6a5c6714632