Charged
$566.96
$566.96 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Visit
- visit Urgent care clinic
- Serviced
- 2003-11-19illness from the same day
- Status
- Closedlast billed 2003-11-19 · type 1
- Diagnoses
- diagnosis concept Victim of intimate partner abusecode 706893006
- Billed for
- procedure concept Assessment of health and social care needscode 710824005procedure concept Assessment using Morse Fall Scale · 762993000procedure concept Depression screening · 171207006procedure concept Depression screening using Patient Health Questionnaire Nine Item score · 715252007
2 more billed codes
procedure concept Assessment of substance use · 428211000124100procedure concept Screening for drug abuse · 713106006
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-0238-b8fd05850d6b