Charged
$2,601.09
$2,601.09 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Serviced
- 1971-11-28illness from the same day
- Status
- Closedlast billed 1971-11-28 · type 2
- Diagnoses
- diagnosis concept Acute bronchitiscode 10509002
- Billed for
- procedure concept Sputum examinationcode 269911007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-2684-684276533431