Claim for Maria Dibbert — 2015-11-16

Patient

patient Maria Dibbert

Visit

visit General examination of patient

Serviced

2015-11-16illness from the same day

Status

Closedlast billed 2015-11-16 · type 1

Diagnoses

diagnosis concept Unemployedcode 73438004

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