Charged
$36.43
$36.43 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2024-03-27illness from the same day
- Status
- Closedlast billed 2024-03-27 · type 1
- Diagnoses
- diagnosis concept Fracture of bonecode 125605004diagnosis concept Fracture of clavicle · 58150001
- Billed for
- medication concept Meperidine Hydrochloride 50 MG Oral Tabletcode 861467
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-a299-311e0cf5b4b8