Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Visit
- visit Well child visit
- Serviced
- 1991-09-18illness from the same day
- Status
- Closedlast billed 1991-09-18 · type 1
- Diagnoses
- diagnosis concept Risk activity involvementcode 160968000
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-5d47-10f4721804d7