Claim for Donny Wilfred Ruecker — 2003-12-17

Patient

patient Donny Wilfred Ruecker

Visit

visit Postoperative follow-up visit

Serviced

2003-12-17illness from 2003-10-29

Status

Closedlast billed 2003-12-17 · type 1

Diagnoses

diagnosis concept History of renal transplantcode 161665007

Billed for

medication concept 1 ML tacrolimus 5 MG/ML Injection [Prograf]code 108515

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full