Charged
$1.95
$1.95 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2016-07-26illness from the same day
- Status
- Closedlast billed 2016-07-26 · type 2
- Diagnoses
- diagnosis concept Full-time employmentcode 160903007diagnosis concept Stress · 73595000diagnosis concept Gingivitis · 66383009
- Billed for
- medication concept lisinopril 10 MG Oral Tabletcode 314076
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-ea64-117f0fde872a