Claim for Caitlyn Elli Kuhlman — 2015-05-12

Patient

patient Caitlyn Elli Kuhlman

Visit

visit General examination of patient

Serviced

2015-05-12illness from the same day

Status

Closedlast billed 2015-05-13 · type 1

Diagnoses

diagnosis concept Medication review duecode 314529007diagnosis concept Chronic kidney disease stage 2 · 431856006diagnosis concept Microalbuminuria due to type 2 diabetes mellitus · 90781000119102

Billed for

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

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full