Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Visit
- visit Urgent care clinic
- Serviced
- 2018-11-06illness from the same day
- Status
- Closedlast billed 2018-11-07 · type 1
- Diagnoses
- diagnosis concept Part-time employmentcode 160904001diagnosis concept Stress · 73595000diagnosis concept Victim of intimate partner abuse · 706893006diagnosis concept Gingivitis · 66383009
- Billed for
- medication concept lisinopril 10 MG Oral Tabletcode 314076
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-43e5-acb88935c508