Claim for Nona Samara Gleichner — 2019-06-26

Patient

patient Nona Samara Gleichner

Visit

visit General examination of patient

Serviced

2019-06-26illness from the same day

Status

Closedlast billed 2019-06-26 · type 1

Diagnoses

diagnosis concept Victim of intimate partner abusecode 706893006

Billed for

medication concept Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]code 1049625

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full