Charged
$704.32
$704.32 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2018-10-28illness from the same day
- Status
- Closedlast billed 2018-10-28 · type 2
- Diagnoses
- diagnosis concept Acute bronchitiscode 10509002
- Billed for
- procedure concept Measurement of respiratory functioncode 23426006
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-44a3-3c99685026a5