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Claim

Claim for Nona Samara Gleichner — 2014-05-16

One bill, raised by a visit or a prescription.

Charged
$93.39
$93.39 paid

The claim

Serviced
2014-05-16illness from 2014-01-31
Status
Closedlast billed 2014-05-16 · type 2
Diagnoses
diagnosis concept Chronic paincode 82423001

Settlement

Coverage
payer Humana no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 0042ca65-dd9d-7221-f8c4-af2693282100