Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2024-12-16illness from the same day
- Status
- Closedlast billed 2024-12-16 · type 1
- Diagnoses
- diagnosis concept Reports of violence in the environmentcode 424393004
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment of anxiety · 710841007procedure concept Depression screening · 171207006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-bf9d-02d7624d5e5d