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Claim

Claim for Caitlyn Elli Kuhlman — 2013-04-30

One bill, raised by a visit or a prescription.

Charged
$0.97
$0.97 paid

The claim

Serviced
2013-04-30illness from the same day
Status
Closedlast billed 2013-04-30 · type 1
Diagnoses
diagnosis concept Gingivitiscode 66383009

Settlement

Coverage
Self-pay no insurer on this claim
Outstanding
Nothing outstandingsettled in full
Record id 0037332a-29d1-a298-38ba-199539876c17