Charged
$1,295.22
$1,295.22 paid
The claim
- Patient
- patient Donny Wilfred Ruecker
- Serviced
- 1999-06-11illness from the same day
- Status
- Closedlast billed 1999-06-11 · 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-44d7-94b2-11e5-3f598545de5f