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Claim

Claim for Tawanna Nedra Kuhlman — 2017-12-22

One bill, raised by a visit or a prescription.

Charged
$504.69
$504.69 paid

The claim

Serviced
2017-12-22illness from the same day
Status
Closedlast billed 2017-12-22 · type 2
Diagnoses
diagnosis concept Childhood asthmacode 233678006
Billed for
procedure concept Asthma screeningcode 171231001

Settlement

Coverage
payer UnitedHealthcare no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 00508659-1210-a7fa-692d-ccfd86dc8da7