Charged
$1.95
$1.95 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 lisinopril 10 MG Oral Tabletcode 314076
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-9e23-a8ad4dff530c