Charged
$95.51
$95.51 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2023-04-20illness from the same day
- Status
- Closedlast billed 2023-04-21 · type 2
- Billed for
- procedure concept Unnamed dental procedurecode D1203
Settlement
- Coverage
- payer Blue Cross Blue Shield no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-3a16-64db0f14e1b7