Charged
$393.46
$393.46 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2026-03-23illness from the same day
- Status
- Closedlast billed 2026-03-23 · type 2
- Diagnoses
- diagnosis concept Viral sinusitiscode 444814009
- Billed for
- medication concept Amoxicillin 250 MG / Clavulanate 125 MG Oral Tabletcode 562251
Settlement
- Coverage
- payer Blue Cross Blue Shield no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-697a-5642654329d9