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Claim

Claim for Caitlyn Elli Kuhlman — 2021-01-19

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$291.66
$291.66 paid

The claim

Patient
patient Caitlyn Elli Kuhlman
Visit
visit Administration of vaccine to produce active immunity
Serviced
2021-01-19illness from the same day
Status
Closedlast billed 2021-01-19 · type 2

Settlement

Coverage
Self-pay no insurer on this claim
Outstanding
Nothing outstandingsettled in full
Record id 0037332a-29d1-a298-e529-a4a7426d4453