Claim for Maria Dibbert — 2016-11-21

Patient

patient Maria Dibbert

Visit

visit General examination of patient

Serviced

2016-11-21illness from the same day

Status

Closedlast billed 2016-11-21 · type 1

Diagnoses

diagnosis concept Medication review duecode 314529007diagnosis concept Full-time employment · 160903007

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