Charged
$0.97
$0.97 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- 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 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-e24c-d0ffa9ffd24c