Claim for Maria Dibbert — 2018-12-03

Patient

patient Maria Dibbert

Visit

visit General examination of patient

Serviced

2018-12-03illness from the same day

Status

Closedlast billed 2018-12-03 · type 1

Billed for

medication concept albuterol 5 MG/ML Inhalation Solutioncode 245314

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full