Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Ronnie Ina Gusikowski
- Serviced
- 1971-06-11illness from the same day
- Status
- Closedlast billed 1971-06-11 · type 2
- Diagnoses
- diagnosis concept Viral sinusitiscode 444814009
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003b30a0-7fd2-f42c-ec76-578f4c7b7b31