Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2016-10-31illness from the same day
- Status
- Closedlast billed 2016-10-31 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Neuropathy due to type 2 diabetes mellitus · 368581000119106diagnosis concept Stress · 73595000
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure 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-f390-0764394417e3