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Claim

Claim for Nona Samara Gleichner — 2022-07-13

One bill, raised by a visit or a prescription.

Charged
$641.13
$641.13 paid

The claim

Serviced
2022-07-13illness from the same day
Status
Closedlast billed 2022-07-13 · type 1
Diagnoses
diagnosis concept Part-time employmentcode 160904001

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 0042ca65-dd9d-7221-4746-d6bfa3ddbe1c