Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2018-03-08illness from the same day
- Status
- Closedlast billed 2018-03-09 · type 1
- Diagnoses
- diagnosis concept Ischemic heart diseasecode 414545008
- Billed for
- medication concept 24 HR metoprolol succinate 100 MG Extended Release Oral Tabletcode 866412
Settlement
- Coverage
- payer Blue Cross Blue Shield no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-3387-ff78133a8fe2