Charged
$1.04
$1.04 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2021-03-02illness from the same day
- Status
- Closedlast billed 2021-03-03 · type 2
- Diagnoses
- diagnosis concept Full-time employmentcode 160903007
- 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-a298-8e4f-16ed23c792de