Charged
$229.83
$229.83 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Visit
- visit Well child visit
- Serviced
- 1971-05-21illness from the same day
- Status
- Closedlast billed 1971-05-21 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-3c66-1a6647a2398e