Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2022-05-17illness from the same day
- Status
- Closedlast billed 2022-05-17 · type 2
- Diagnoses
- diagnosis concept Acute bronchitiscode 10509002
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-6860-d40b63a85721