Charged
$21.46
$21.46 paid
The claim
- Patient
- patient Pok Shane Strosin
- Serviced
- 2019-12-26illness from the same day
- Status
- Closedlast billed 2019-12-26 · type 2
- Diagnoses
- diagnosis concept Acute allergic reactioncode 241929008
- Billed for
- medication concept predniSONE 5 MG Oral Tabletcode 312617
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-f438-fce690ce95fd