Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2015-06-03illness from the same day
- Status
- Closedlast billed 2015-06-03 · type 1
- Diagnoses
- diagnosis concept Body mass index 30+ - obesitycode 162864005
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-ee9a-69306cf63468