Charged
$2.03
$2.03 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2000-03-15illness from the same day
- Status
- Closedlast billed 2000-03-15 · type 1
- Diagnoses
- diagnosis concept Full-time employmentcode 160903007
- Billed for
- medication concept amLODIPine 2.5 MG Oral Tabletcode 308136
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-05ee-e5b7960c8f2a