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Claim

Claim for Nona Samara Gleichner — 2021-07-07

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$276.54
$276.54 paid

The claim

Patient
patient Nona Samara Gleichner
Visit
visit General examination of patient
Serviced
2021-07-07illness from the same day
Status
Closedlast billed 2021-07-07 · type 1
Diagnoses
diagnosis concept Stresscode 73595000diagnosis concept Victim of intimate partner abuse · 706893006
Billed for
medication concept Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]code 1049625

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 0042ca65-dd9d-7221-c6d7-b3a53a098001