Charged
$127.17
$127.17 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2009-11-16illness from the same day
- Status
- Closedlast billed 2009-11-17 · type 2
- Diagnoses
- diagnosis concept Sterilization requestedcode 183996000diagnosis concept History of tubal ligation · 267020005
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-bdc0-3b2633af9c19