Charged
$224.51
$224.51 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2023-09-08illness from the same day
- Status
- Closedlast billed 2023-09-08 · type 2
- Diagnoses
- diagnosis concept Acute bronchitiscode 10509002
- Billed for
- medication concept Acetaminophen 325 MG Oral Tabletcode 313782
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-5808-72ec399b0665