Claim for Maria Dibbert — 2020-12-14

Patient

patient Maria Dibbert

Visit

visit General examination of patient

Serviced

2020-12-14illness from the same day

Status

Closedlast billed 2020-12-14 · type 1

Diagnoses

diagnosis concept Part-time employmentcode 160904001diagnosis concept Reports of violence in the environment · 424393004

Billed for

medication concept 60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhalercode 896209

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full