Claim for Donny Wilfred Ruecker — 2003-09-19

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for problem

Serviced

2003-09-19illness from the same day

Status

Closedlast billed 2003-09-19 · type 1

Diagnoses

diagnosis concept Chronic kidney disease stage 4code 431857002

Billed for

procedure concept Renal dialysiscode 265764009

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full