Claim for Donny Wilfred Ruecker — 2003-07-04

Patient

patient Donny Wilfred Ruecker

Visit

visit Encounter for problem

Serviced

2003-07-04illness from the same day

Status

Closedlast billed 2003-07-04 · type 1

Diagnoses

diagnosis concept Chronic kidney disease stage 4code 431857002

Billed for

medication concept 1 ML Epoetin Alfa 4000 UNT/ML Injection [Epogen]code 205923

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full