Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2020-07-20illness from the same day
- Status
- Closedlast billed 2020-07-28 · type 1
- Diagnoses
- diagnosis concept Sepsiscode 91302008diagnosis concept Acute respiratory distress syndrome · 67782005
- Billed for
- medication concept piperacillin 2000 MG / tazobactam 250 MG Injectioncode 1659131
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-7fcb-9b6f04f6d835