Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2018-11-12illness from the same day
- Status
- Closedlast billed 2018-11-12 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Gingivitis · 66383009
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment of anxiety · 710841007procedure concept Depression screening · 171207006procedure concept Assessment of substance use · 428211000124100
2 more billed codes
procedure concept Assessment using Alcohol Use Disorders Identification Test - Consumption · 763302001procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-4d7c-ac723e90e1f9