Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2018-05-05illness from the same day
- Status
- Closedlast billed 2018-05-05 · type 2
- Billed for
- medication concept tropicamide 5 MG/ML Ophthalmic Solutioncode 313521
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-b612-09ba38104e9c