Charged
$150.55
$150.55 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2018-04-03illness from the same day
- Status
- Closedlast billed 2018-04-03 · type 2
- Diagnoses
- diagnosis concept Acute bronchitiscode 10509002
- Billed for
- procedure concept Measurement of respiratory functioncode 23426006
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-47af-6f27c834c081