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Claim

Claim for Tawanna Nedra Kuhlman — 2019-10-06

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$276.54
$276.54 paid

The claim

Patient
patient Tawanna Nedra Kuhlman
Visit
visit Urgent care clinic
Serviced
2019-10-06illness from the same day
Status
Closedlast billed 2019-10-06 · type 1
Billed for
medication concept 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent]code 895996

Settlement

Coverage
payer UnitedHealthcare no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 00508659-1210-a7fa-e53f-9bec1477b64b