Claim for Caitlyn Elli Kuhlman — 2018-12-11

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Emergency room admission

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 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