Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2020-07-01illness from the same day
- Status
- Closedlast billed 2020-07-01 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Limited social contact · 423315002diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2 · 840544004
- Billed for
- medication concept tramadol hydrochloride 50 MG Oral Tabletcode 835603
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-ca58-6d1b3741bac2