Charged
$0.97
$0.97 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2016-11-29illness from the same day
- Status
- Closedlast billed 2016-11-29 · type 2
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- 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-efad-fb3601b2cedb