Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2017-08-14illness from the same day
- Status
- Closedlast billed 2017-08-14 · type 2
- Diagnoses
- diagnosis concept Viral sinusitiscode 444814009
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-dd97-2c446b9e4dfc