Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 2014-03-10illness from the same day
- Status
- Closedlast billed 2014-03-10 · type 2
- Diagnoses
- diagnosis concept Stresscode 73595000
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-641f-b13f040f636f