Charged
$827.26
$827.26 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Visit
- visit Urgent care clinic
- Serviced
- 2016-10-25illness from the same day
- Status
- Closedlast billed 2016-10-26 · type 1
- 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
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-90d2-754142b37b3f