Claim for Caitlyn Elli Kuhlman — 2022-05-24

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

medication concept insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]code 106892

Coverage

payer Medicare no secondary insurer

Outstanding

Nothing outstandingsettled in full