Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 1973-11-05illness from the same day
- Status
- Closedlast billed 1973-11-05 · type 2
- Diagnoses
- diagnosis concept Dental caries, unspecifiedcode K02.9diagnosis concept Developmental odontogenic cysts · K09.0
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-3b31-f891a7667c79