Charged
$1.19
$1.19 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2018-12-11illness from the same day
- Status
- Closedlast billed 2018-12-12 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Gingivitis · 66383009
- 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-a298-4bf3-24b519f9c7e2