Charged
$1,044.61
$1,044.61 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Visit
- visit Urgent care clinic
- Serviced
- 2022-05-24illness from the same day
- Status
- Closedlast billed 2022-05-25 · type 1
- Diagnoses
- diagnosis concept Reports of violence in the environmentcode 424393004diagnosis concept Unhealthy alcohol drinking behavior · 10939881000119105diagnosis concept Gingivitis · 66383009
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Assessment of health and social care needs · 710824005procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Medicare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-5ab8-758238c3b987