Charged
$93.83
$93.83 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Serviced
- 1977-03-11illness from 1977-02-26
- Status
- Billedlast billed 1977-03-11 · type 1
- Diagnoses
- diagnosis concept Bullet woundcode 262574004
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- $107.11$50.00 owed by the patient
Record id
003b30a0-7fd2-f42c-d929-696e7b42e6a5