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Claim

Claim for Ronnie Ina Gusikowski — 1968-03-17

One bill, raised by a visit or a prescription.

Charged
$130.14
$130.14 paid

The claim

Serviced
1968-03-17illness from the same day
Status
Closedlast billed 1968-03-17 · type 2
Diagnoses
diagnosis concept Otitis mediacode 65363002

Settlement

Coverage
payer Medicaid no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 003b30a0-7fd2-f42c-1028-5cdba8e18684