Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Maria Dibbert
- Serviced
- 1978-10-02illness from the same day
- Status
- Closedlast billed 1978-10-02 · type 1
- Diagnoses
- diagnosis concept Transport problemcode 266934004
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
000287f5-a0d8-f77b-cc86-7b135bc30493