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Claim

Claim for Nona Samara Gleichner — 2021-03-31

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$291.66
$291.66 paid

The claim

Patient
patient Nona Samara Gleichner
Visit
visit Administration of vaccine to produce active immunity
Serviced
2021-03-31illness from the same day
Status
Closedlast billed 2021-03-31 · type 2

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 0042ca65-dd9d-7221-be1d-e0983e65b13c