Charged
$2,623.46
$2,623.46 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2019-03-31illness from the same day
- Status
- Closedlast billed 2019-03-31 · type 2
- Diagnoses
- diagnosis concept Nonproliferative diabetic retinopathy due to type II diabetes mellituscode 1551000119108
- Billed for
- procedure concept Visual acuity testingcode 16830007procedure concept Intraocular pressure test · 252832004procedure concept Ocular slit lamp examination · 55468007procedure concept Indirect gonioscopy · 389153003
2 more billed codes
procedure concept Camera fundoscopy · 314971001procedure concept Diabetic retinal eye exam · 722161008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-2bc7-cf577be3daa1