Charged
$1,080.84
$1,080.84 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 2002-08-13illness from the same day
- Status
- Closedlast billed 2002-08-13 · type 1
- Diagnoses
- diagnosis concept Chronic kidney disease stage 4code 431857002
- Billed for
- procedure concept Renal dialysiscode 265764009
Settlement
- Coverage
- payer Medicare secondary: payer Blue Cross Blue Shield
- Outstanding
- Nothing outstandingsettled in full
Record id
0054427e-44d7-94b2-0660-1e0709995e86