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Claim

Claim for Bo Gino Murazik — 2019-11-18

One bill, raised by a visit or a prescription.

Charged
$641.13
$641.13 paid

The claim

Serviced
2019-11-18illness from the same day
Status
Closedlast billed 2019-11-18 · type 1
Diagnoses
diagnosis concept Gingivitiscode 66383009

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 003af57f-1886-144b-474c-1c7f4e5f0f0e