Charged
$48.39
$48.39 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2019-12-09illness from the same day
- Status
- Closedlast billed 2019-12-09 · type 1
- Diagnoses
- diagnosis concept Unemployedcode 73438004
- Billed for
- medication concept albuterol 5 MG/ML Inhalation Solutioncode 245314
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-4fc0-dc4c5b5be397