Charged
$76.30
$76.30 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2013-09-22illness from the same day
- Status
- Closedlast billed 2013-10-21 · type 2
- Diagnoses
- diagnosis concept Sepsiscode 91302008diagnosis concept Septic shock · 76571007
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-50c9-7f3eb7b349c3