Charged
$127.17
$127.17 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Serviced
- 1977-02-26illness from the same day
- Status
- Closedlast billed 1977-02-26 · type 1
- Diagnoses
- diagnosis concept Gunshot woundcode 283545005diagnosis concept Bullet wound · 262574004
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-56d0-204a30da271c