Charged
$1.60
$1.60 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Visit
- visit Urgent care clinic
- Serviced
- 2016-10-18illness from the same day
- Status
- Closedlast billed 2016-10-18 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- Billed for
- medication concept Hydrochlorothiazide 25 MG Oral Tabletcode 310798
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-1f34-fa61c486a269