Charged
$127.17
$127.17 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Visit
- visit Hospital admission
- Serviced
- 1989-02-15illness from the same day
- Status
- Closedlast billed 1989-02-16 · type 2
- Diagnoses
- diagnosis concept Dental cariescode 80967001
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-4758-f8b60190f68b