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Claim

Claim for Caitlyn Elli Kuhlman — 2013-04-30

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$540.89
$540.89 paid

The claim

Patient
patient Caitlyn Elli Kuhlman
Visit
visit General examination of patient
Serviced
2013-04-30illness from the same day
Status
Closedlast billed 2013-04-30 · type 1
Diagnoses
diagnosis concept Gingivitiscode 66383009
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-a298-3be8-e40cbcc7a0f1