Charged
$637.39
$637.39 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2018-04-12illness from the same day
- Status
- Closedlast billed 2018-04-12 · type 2
- Diagnoses
- diagnosis concept Medication review duecode 314529007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-0e78-a9fd89003a29